Version of Record online: 11 APR 2013
© 2013 British Journal of Surgery Society Ltd. Published by John Wiley & Sons Ltd
British Journal of Surgery
Volume 100, Issue 7, pages 911–915, June 2013
How to Cite
Kaehler, G., Schoenberg, M. B., Kienle, P., Post, S. and Magdeburg, R. (2013), Transgastric appendicectomy. Br J Surg, 100: 911–915. doi: 10.1002/bjs.9115
- Issue online: 3 MAY 2013
- Version of Record online: 11 APR 2013
- Manuscript Accepted: 6 FEB 2013
Experimental studies and small anecdotal reports have documented the potential and feasibility of transgastric appendicectomy. This paper reports the results of the new technique in a selected group of patients.
From April 2010 transgastric appendicectomy was offered to all patients with acute appendicitis, but without generalized peritonitis or local contraindications.
Of 111 eligible patients 15 agreed to undergo the transgastric operation. After conversion of the first case to laparoscopy because of severe inflammation and adhesions, the following 14 consecutive transgastric procedures were completed. Two patients with initial peritonitis required laparoscopic lavage 4 days after transgastric appendicectomy, but no leaks were detected at the appendiceal stump or stomach.
These preliminary results have shown the feasibility of this innovative procedure. Additional studies, however, are required to demonstrate the specific advantages and disadvantages of this approach, and define its role in clinical surgery.