Zusammenfassung
Die akute Appendizitis ist die häufigste chirurgische Erkrankung des Gastrointestinaltraktes, die einer operativen Therapie bedarf. Männer haben öfters eine akute Appendizitis als Frauen. Die hohe Rate negativer Appendektomien bei Frauen im gebärfähigen Alter ist dafür verantwortlich, dass die Wahrscheinlichkeit, während seines Lebens appendektomiert zu werden, bei Frauen fast doppelt so hoch ist. Neueste Studien zeigen, dass die laparoskopische Appendektomie mit gleicher Sicherheit wie die offene Appendektomie durchgeführt werden kann. Die Wundinfektrate ist nach laparoskopischer Appendektomie geringer, es treten aber gehäuft intraabdominelle Abszesse auf. Der größte Vorteil ist die laparoskopische Exploration der Bauchhöhle. Bei unklaren rechtsseitigen Unterbauchschmerzen findet man in bis zu 98% der Fälle eine Ursache, die das Beschwerdebild erklärt.
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Kocher, T., Wiesner, W., Harder, F. (2002). Appendizitis (inkl. laparoskopischer Techniken). In: Siewert, J.R., Harder, F., Rothmund, M. (eds) Praxis der Viszeralchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09418-1_33
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DOI: https://doi.org/10.1007/978-3-662-09418-1_33
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