A total of 701 patients operated an with the suspected diagnosis of ac
ute appendicitis were included in a prospective study, Three hundred a
nd nine patients were treated conventionally and 387 laparoscopically.
In 14 patients the operation had to be converted. Operating time was
44 min in the laparoscopic group and 54 min in the conventional group.
The advantages of the laparoscopic technique were better visualisatio
n of the abdominal cavity, fewer complications, shorter hospital stay
and better cosmetic result. Complications occurred in 2.9 % of the pat
ients in the laparoscopic group and in 13.6 % of the patients in the c
onventional group. All complications following laparoscopic procedures
could be treated laparoscopically.