Metzger A, Klaiber C, Frei E
Chirurgische Abteilung, Spital Aarberg.
Helv Chir Acta. 1992 May;58(6):841-5.
Surgeons interest in laparoscopic surgery has grown considerably in the last years, mostly due to the explosive spread of laparoscopic cholecystectomy. Laparoscopic appendectomy is from a historical point of view the older procedure, since it was already performed 1982 by Semm. His technique was modified 1987 by Götz, who is also responsible for popularizing it in general surgery. Between April 1989 and April 1991 we have performed 107 laparoscopic appendectomies. 82 were completed successfully by laparoscopy, in 25 instances we had to convert to an open procedure, mostly as a result of the lack of proficiency in the learning period. There were 8 septic complication (9.7%), a rather high rate, which probably will be reduced with the increasing operative expertise. There were no deaths in this series. Further experience is demanded in order to establish laparoscopic appendectomy as the alternative to the conventional procedure.
近年来，外科医生对腹腔镜手术的兴趣大幅增长，这主要归功于腹腔镜胆囊切除术的迅速普及。从历史角度来看，腹腔镜阑尾切除术是更早开展的手术，因为1982年Semm就已实施该手术。1987年Götz对其技术进行了改良，他也推动了该手术在普通外科的广泛应用。在1989年4月至1991年4月期间，我们共进行了107例腹腔镜阑尾切除术。其中82例通过腹腔镜成功完成，25例因学习阶段操作不熟练而转为开放手术。有8例感染并发症（9.7%），这一比例相当高，随着手术经验的增加，该比例可能会降低。本系列病例无死亡。为了确立腹腔镜阑尾切除术作为传统手术的替代方法，还需要进一步积累经验。
