Standardappendektomie versus laparoskopische Appendektomie

Waleczek, H.; Hegelmaier, C; Recknagel, S

doi:10.1159/000170675

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2000

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“…Valla [136] 1991 no children 465 33 0 n.a. Vallina [137] 1993 prosp/retro 18 2 17 2 Waleczek [138] 1993 no 84 Anderson [2] 1981 no 27 n.a. 9 0 0 Attwood [6] 1992 randomized 30 27 n.a.…”

Section: Methodsmentioning

confidence: 99%

Macroscopic assessment of the appendix at diagnostic laparoscopy is reliable

et al. 2000

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Contrary to general opinion, there is no substantial evidence to support the assumption that the macroscopic diagnosis of appendicitis is unreliable. High rates of conflicting diagnoses of excision specimens suggest that endoappendicitis has little clinical significance. At present, negative appendectomy rates are considerably higher for laparoscopic appendectomy than for the open approach. The role of diagnostic laparoscopy in suspected appendicitis should be reconsidered. It may be useful in particular subgroups of patients, but it is no substitute for good clinical judgment. Furthermore, it is not always necessary to perform an incidental appendectomy.

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“…Valla [136] 1991 no children 465 33 0 n.a. Vallina [137] 1993 prosp/retro 18 2 17 2 Waleczek [138] 1993 no 84 Anderson [2] 1981 no 27 n.a. 9 0 0 Attwood [6] 1992 randomized 30 27 n.a.…”

Section: Methodsmentioning

confidence: 99%