[Prevention and therapy of complications in laparoscopic appendectomy].

It has been verified that laparoscopic appendectomy increases safety. The indications for laparoscopic appendectomy depend on the surgeon's confidence in diagnosis, his skills and the stage of appendicitis. The complications could be prevented by placement of open trocars and (dividing the mesoappendix and appendix with sutures, clips or staples. Electrosurgery should never be used. Bipolar electrosurgery should be limited to 20 Watt power for 5 s. The appendix is removed either though a trocar or in a specimen bag.