Laparoscopic Appendectomy (Laparoskopik Apendektomi) - Abdominal Surgery
Appendicitis is one of those fascinating abdominal conditions that have a variety of presentations and also there are other conditions that mimic appendicitis. Appendicitis is the most common intra-abdominal surgical emergency with a lifetime risk of 8.6% for males and 6.7% for females, but the risk of appendectomy is 12% for males and 23.1% for females due to the higher rate of negative or incidental appendectomy in females. Difficulties in diagnosis are likely to be encountered, especially in atypical presentations. These can lead to either an inappropriate delay in surgical treatment or an unnecessary exploratory laparotomy. 15-30% of the removed appendices do not have histological signs of inflammation. Several diagnostic modalities, such as ultrasonography (US), computed tomography (CT) and diagnostic laparoscopy (DL) have been introduced. These tools have several limitations, risks and costs. US is an observer dependent test with low sensitivity rates, whereas CT is less observer dependent but relatively expensive and exposes the patient to a relatively high radiation dose. Radiological evaluation helps the surgeon with the diagnosis and differentiation in nearly 100% of cases. Laparoscopy is another reliable diagnostic tool for appendicitis with the advantage of leading to other diagnoses and the possibility of concomitant therapeutic interventions. Negative appendectomy rates are relatively low : 4-13% in a laparoscopic approach. At present, the utility of DL and ...
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