Laparoscopic Appendectomy

  • Lewis B. Schwartz
  • Theodore N. Pappas


Although the first reported appendectomy was performed in 1735, it took over 150 years to recognize acute appendicitis as a clinical entity amenable to surgical therapy (Table 16–1). The standard open surgical approach via a right lower quadrant incision first suggested by McArthur [1] and McBurney [2] in 1894 has stood the test of time and has been the mainstay of treatment for acute appendicitis. Appendectomy has become one of the most frequently performed surgical procedures in the United States; approximately 12% of males and 23% of females undergo appendectomy during their lifetime [3].


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  1. 1.
    Strohl EL, Diffenbaugh WG: The historical background of the gridiron or muscle-splitting incision for appendectomy. III Med J 1969, 135:287–288.Google Scholar
  2. 2.
    McBumey C: The incision made in the abdominal wall in cases of appendicitis, with a description of a new method of operating. Ann Surg 1894, 20:38–43.CrossRefGoogle Scholar
  3. 3.
    Addiss DG, Shaffer N, Fowler BS, Tauxe RV: The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990, 132:910–925.PubMedGoogle Scholar
  4. 4.
    Luckman R: Incidence and case fatality notes for acute appendicitis in California: a population-based study of the effects of age. Am J Epidemiol 1989, 129(suppl):905–918.Google Scholar
  5. 5.
    Berry J, Malt RA: Appendicitis near its centenary. Ann Surg 1984, 200:567–575.PubMedCrossRefGoogle Scholar
  6. 6.
    Pappas TN, Gale F, Ross RP: Appendicitis can be treated safely with a negative appendectomy rate of 10%. Digestive Surgery 1989, 6:74–77.CrossRefGoogle Scholar
  7. 7.
    Lewis FR, Holcroft JW, Boey J, Dunphy JE: Appendicitis: a critical review of diagnosis and treatment in 1,000 cases. Arch Surg 1975, 110:677–684.PubMedCrossRefGoogle Scholar
  8. 8.
    Semm KI: Advances in pelviscopic surgery. Curr Probl Obstet Gynecol 1982, 5:32–34.Google Scholar
  9. 9.
    Kelley HA, Hurdon E: The Vermiform Appendix and Its Disease. Philadelphia: Saunders; 1905.Google Scholar
  10. 10.
    Sasso RD, Hanna EA, Moore DL: Leukocytic and neutrophilic counts in acute appendicitis. Am J Surg 1970, 120:563–566.PubMedCrossRefGoogle Scholar
  11. 11.
    Engström L, Fenyö G: Appendectomy: assessment of stump invagination versus simple ligation. Br J Surg 1985, 72:971–972.PubMedCrossRefGoogle Scholar
  12. 12.
    Nowzaradan Y, Westmoreland J, McCarver CT, Harris RJ: Laparoscopic appendectomy for acute appendicitis: indications and current use. J Laparoendosc Surg 1991, 1:247–257.PubMedCrossRefGoogle Scholar
  13. 13.
    Schultz IS, Pietrafitta JJ, Graber JN, Hickok DF: Retrograde laparoscopic appendectomy: report of a case. J Laparoendosc Surg 1991, 1:111–114.PubMedCrossRefGoogle Scholar
  14. 14.
    Geis WP, Miller CE, Kokoszka JS, Ferlmann JC, Teresi M, Saletta JD. Laparoscopic appendectomy for acute appendicitis: rationale and technical aspects. Contemp Surg 1992, 40:13–19.Google Scholar
  15. 15.
    Klaiber C, Wagner M, Metzger A: Various stapling techniques in laparoscopic appendectomy: 40 consecutive cases. Surg Laparosc Endosc 1994, 4:205–209.PubMedCrossRefGoogle Scholar
  16. 16.
    Cox MR, McCall JL, Padbury RT, Wilson TG, Wattchow DA, Toouli J: Laparoscopic surgery in women with a clinical diagnosis of acute appendicitis. Med J Aust 1995, 162:130–132.PubMedGoogle Scholar
  17. 17.
    Valla JS, Limonne B, Valla V, et al.: Laparoscopic appendectomy in children: report of 465 cases. Surg Laparosc Endosc 1991, 1:166–172.PubMedGoogle Scholar
  18. 18.
    el Ghoneimi A, Valla JS, Limonne B, et al.: Laparoscopic appendectomy in children: report of 1,379 cases. J Pediatr Surg 1994, 29:786–789.PubMedCrossRefGoogle Scholar
  19. 19.
    Schreiber JH: Results of outpatient laparoscopic appendectomy in women. Endoscopy 1994, 26:292–298.PubMedCrossRefGoogle Scholar
  20. 20.
    Meinke AK, Kossuth T: What is the learning curve for laparoscopic appendectomy? Surg Endosc 1994, 8:371–375.PubMedCrossRefGoogle Scholar
  21. 21.
    Mohsen AA: Endocoagulator control of the mesoappendix for laparoscopic appendectomy. J Laparoendosc Surg 1994, 4:435–440.PubMedCrossRefGoogle Scholar
  22. 22.
    Corso FA: Laparoscopic appendectomy. Int Surg 1994, 79:247–250.PubMedGoogle Scholar
  23. 23.
    Vargas HI, Tolmos J, Klein SR, Vadis IP, Stamos MJ: Laparoscopic appendectomy in the 1990’s. Int Surg 1994, 79:242–246.PubMedGoogle Scholar
  24. 24.
    Charoonratana V, Chansawang S, Maipang T, Totemchokchyakarn P: Laparoscopic appendicectomy. Eur J Surg 1993, 159:235–237.PubMedGoogle Scholar
  25. 25.
    Cox MR, McCall JL, Wilson TG, Padbury RT, Jeans PL, Toouli J: Laparoscopic appendicectomy: a prospective analysis. Aust N Z J Surg 1993, 63:840–847.PubMedCrossRefGoogle Scholar
  26. 26.
    Schiffino L, Mouro J, Karayel M, Levard H, Berthelot G, Dubois F: Laparoscopic appendectomy: a study of 154 consecutive cases. Int Surg 1993, 78:280–283.PubMedGoogle Scholar
  27. 27.
    Pier A, Götz F, Backer C: Laparoscopic appendectomy in 625 cases: from innovation to routine. Surg Laparosc Endosc 1991, 1:8–13.PubMedGoogle Scholar
  28. 28.
    Götz F, Pier A, Bacher C: Modified laparoscopic appendectomy in surgery. Surg Endosc 1990, 4:6–9.PubMedCrossRefGoogle Scholar
  29. 29.
    Pier A, Götz F, Bacher C, Ibald R: Laparoscopic appendectomy. World J Surg 1993, 17:29–33.PubMedCrossRefGoogle Scholar
  30. 30.
    Laparoscopic versus open appendicectomy: prospective randomised trial. Lancet 1993, 342:633–637.Google Scholar
  31. 31.
    Ludwig KA, Cattey RP, Henry LG: Initial experience with laparoscopic appendectomy. Dis Colon Rectum 1993, 36:463–467.PubMedCrossRefGoogle Scholar
  32. 32.
    Paul MG, Kim D, Tylka BL, et al.: Laparoscopic surgery in a mobile army surgical hospital deployed to the former Yugoslavia. Surg Laparosc Endosc 1994, 4:441–447.PubMedCrossRefGoogle Scholar
  33. 33.
    Miller JP: Laparoscopic appendectomy. PediatrAnn 1993, 22:663–667.Google Scholar
  34. 34.
    Scott-Conner CE, Hall TJ, Anglin BL, Muakkassa F: Laparoscopic appendectomy: initial experience in a teaching program. Ann Surg 1992, 215:660–668.PubMedCrossRefGoogle Scholar
  35. 35.
    Goh P, Tekant Y, Kum CK, Chow L, Ngoi SS: Technical modification to laparoscopic appendectomy. Dis Colon Rectum 1992, 35:999–1000.PubMedCrossRefGoogle Scholar
  36. 36.
    Pelosi MA, Pelosi MA 3d: Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med 1992, 37:588–594.PubMedGoogle Scholar
  37. 37.
    Byrne DS, Bell G, Morrice JJ, Orr G: Technique for laparoscopic appendicectomy. Br J Surg 1992, 79:574–575.PubMedCrossRefGoogle Scholar
  38. 38.
    Richards W, Watson D, Lynch G, et al.: A review of the results of laparoscopic versus open appendectomy. Surg Gynecol Obstet 1993, 177:473–480.PubMedGoogle Scholar
  39. 39.
    Daniell JF, Gurley LD, Kurtz BR, Chambers JF: The use of an automatic stapling device for laparoscopic appendectomy. Obstet Gynecol1991, 78:721–723.PubMedGoogle Scholar
  40. 40.
    Cristalli B, Chiche R, Izard V, Levardon M: Douleurs pelviennes de la femme Èvaluation d’une technique d’appendicectomie intra-péritonéale per-clioscopique. Ann Chir 1991, 45:529–533.PubMedGoogle Scholar
  41. 41.
    O’Regan PJ: Laparoscopic appendectomy. Can J Surg 1991, 34:256–258.PubMedGoogle Scholar
  42. 42.
    Bonanni F, Reed J 3rd, Hartzell G, et al.: Laparoscopic versus conventional appendectomy. J Am Coll Surg 1994, 179:273–278.PubMedGoogle Scholar
  43. 43.
    Saye WB, Rives DA, Cochran EB: Laparoscopic appendectomy: three years’ experience. Surg Laparosc Endosc 1991, 1:109–115.PubMedGoogle Scholar
  44. 44.
    McKernan JB, Saye WB: Laparoscopic techniques in appendectomy with argon laser. South Med J 1990, 83:1019–1020.PubMedCrossRefGoogle Scholar
  45. 45.
    Schreiber JH: Early experience with laparoscopic appendectomy in women. Surg Endosc 1987, 1:211–216.PubMedCrossRefGoogle Scholar
  46. 46.
    Gangal HT, Gangal MH: Laparoscopic appendicectomy. Endoscopy 1987, 19:127–129.PubMedCrossRefGoogle Scholar
  47. 47.
    Neal GE, McClintic EC, Williams JS: Experience with laparoscopic and open appendectomies in a surgical residency program. Surg Laparosc Endosc 1994, 4:272–276.PubMedGoogle Scholar
  48. 48.
    Nowzaradan Y, Barnes JP Jr, Westmoreland J, Hojabri M: Laparoscopic appendectomy: treatment of choice for suspected appendicitis. Surg Laparosc Endosc 1993, 3:411–416.PubMedCrossRefGoogle Scholar
  49. 49.
    Cohen MM, Dangleis K: The cost-effectiveness of laparoscopic appendectomy. J Laparoendosc Surg 1993, 3:93–97.PubMedCrossRefGoogle Scholar
  50. 50.
    Schirmer BD, Schmieg RE Jr, Dix J, Edge SB, Hanks JB: Laparoscopic versus traditional appendectomy for suspected appendicitis. Am J Surg 1993, 165:670–675.PubMedCrossRefGoogle Scholar
  51. 51.
    Lansdown M, Kraly Z, Milkins R, Royston C: Conventional versus laparoscopic surgery for acute appendicitis. Br J Surg 1993, 80:1349–1350.PubMedCrossRefGoogle Scholar
  52. 52.
    Tate JJ, Chung SC, Dawson J, et al.: Conventional versus laparoscopic surgery for acute appendicitis. Br J Surg 1993, 80:761–764.PubMedCrossRefGoogle Scholar
  53. 53.
    Schroder DM, Lathrop JC, Lloyd LR, Boccaccio JE, Hawasli A: Laparoscopic appendectomy for acute appendicitis: is there really any benefit? Am Surg 1993, 59:541–548.PubMedGoogle Scholar
  54. 54.
    Fritts LL, Orlando R 3d: Laparoscopic appendectomy: a safety and cost analysis. Arch Surg 1993, 128:521–525.PubMedCrossRefGoogle Scholar
  55. 55.
    Naver LP, Kock JP, Bokmand S: Primary experiences with laparoscopic appendectomy. Ugeskr Laeger 1994, 156:3775–3777.PubMedGoogle Scholar
  56. 56.
    Buckley RC, Hall TJ, Muakkassa FF, Anglin B, Rhodes RS, Scott-Conner CE: Laparoscopic appendectomy: is it worth it? Am Surg 1994, 60:30–34.PubMedGoogle Scholar
  57. 57.
    Pruett B, Pruett J: Laparoscopic appendectomy: have we found a better way? J Miss State Med Assoc 1994, 35:347–351.PubMedGoogle Scholar
  58. 58.
    Sosa JL, Sleeman D, McKenney MG, Dygert J, Yarish D, Martin L: A comparison of laparoscopic and traditional appendectomy. J Laparoendosc Surg 1993, 3:129–131.PubMedCrossRefGoogle Scholar
  59. 59.
    Gilchrist BF, Lobe TE, Schropp KP, et al. Is there a role for laparoscopic appendectomy in pediatric surgery? J Pediatr Surg 1992, 27:209–214.PubMedCrossRefGoogle Scholar
  60. 60.
    Kollias J, Harries RH, Otto G, Hamilton DW, Cox JS, Gallery RM: Laparoscopic versus open appendicectomy for suspected appendicitis: a prospective study. Aust N Z J Surg 1994, 64:830–835.PubMedCrossRefGoogle Scholar
  61. 61.
    Lujan Mompean JA, Robles Campos R, Parrilla Paricio P, Soria Aledo V, Garcia Ayllon J: Laparoscopic versus open appendicectomy: a prospective assessment. Br J Surg 1994, 81:133–135.PubMedCrossRefGoogle Scholar
  62. 62.
    Reiertsen O, Trondsen E, Bakka A, Andersen OK, Larsen S, Rosseland AR: Prospective nonrandomized study of conventional versus laparoscopic appendectomy. World J Surg 1994, 18:411–416.PubMedCrossRefGoogle Scholar
  63. 63.
    Apelgren KN, Molnar RG, Kisala JM: Laparoscopic is not better than open appendectomy. Am Surg 1995, 61:240–243.PubMedGoogle Scholar
  64. 64.
    Apelgren KN, Molnar RG, Kisala JM: Is laparoscopic better than open appendectomy? Surg Endosc 1992, 6:298–301.PubMedCrossRefGoogle Scholar
  65. 65.
    McAnena OJ, Auston O, Hederman WP, Gorey TF, Fitzpatrick J, O’Connell PR: Laparoscopic versus open appendicectomy. Lancet 1991, 338:693.CrossRefGoogle Scholar
  66. 66.
    McAnena OJ, Austin O, O’Connell PR, Hederman WP, Gorey TF, Fitzpatrick J: Laparoscopic versus open appendicectomy: a prospective evaluation. Br J Surg 1992, 79:818–820.PubMedCrossRefGoogle Scholar
  67. 67.
    Attwood SE, Hill AD, Murphy PG, Thornton J, Stephens RB: A prospective randomized trial of laparoscopic versus open appendectomy. Surgery 1992, 112:497–501.PubMedGoogle Scholar
  68. 68.
    Kum CK, Ngoi SS, Goh PM, Tekant Y, Isaac JR: Randomized controlled trial comparing laparoscopic and open appendicectomy. Br J Surg 1993, 80:1599–1600.PubMedCrossRefGoogle Scholar
  69. 69.
    Frazee RC, Roberts JW, Symmonds RE, et al.: A prospective randomized trial comparing open versus laparoscopic appendectomy. Ann Surg 1994, 219:725–731.PubMedCrossRefGoogle Scholar
  70. 70.
    Vallina VL, Velasco JM, McCulloch CS: Laparoscopic versus conventional appendectomy. Ann Surg 1993, 218:685–692.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Lewis B. Schwartz
  • Theodore N. Pappas

There are no affiliations available

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