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[Laparoscopy for suspected appendicitis. Should an appendix that appears normal be removed?].

B Garlipp¹, G Arlt

¹Abteilung für Allgemein, Viszeral- und Unfallchirurgie, Park-Klinik Weissensee, Berlin, Germany. benjamin.garlipp@med.ovgu.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen

|June 30, 2009

Summary

Laparoscopic appendicectomy for suspected appendicitis is recommended, even if the appendix appears normal. Removing the appendix does not increase postoperative morbidity and aids in early diagnosis of potential neoplastic lesions.

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Area of Science:

Surgical Gastroenterology
Diagnostic Laparoscopy

Background:

The decision to remove a macroscopically normal appendix during laparoscopy for suspected appendicitis is debated.
Potential benefits include early detection of occult neoplastic lesions and prevention of future appendicitis.

Purpose of the Study:

To evaluate the morbidity associated with routine laparoscopic appendicectomy when a normal appendix is found.
To determine if routine removal is justified compared to diagnostic laparoscopy alone.

Main Methods:

Retrospective study of patients undergoing laparoscopic appendicectomy with a normal appendix.
Comparison with patients undergoing diagnostic laparoscopy over a 7-year period.
Critical review of existing literature on appendicectomy outcomes.

Main Results:

Laparoscopic appendicectomy in cases of a "normal appendix" did not increase postoperative morbidity compared to diagnostic laparoscopy.
Routine removal of the appendix is safe and offers diagnostic advantages.

Conclusions:

Routine laparoscopic appendicectomy for suspected appendicitis, regardless of macroscopic appearance, is justified.
This strategy enhances diagnostic capabilities and prevents future complications without increasing surgical risk.