Laparoscopic Management of Acute Appendicitis

Over the last 10–15 years, the management of appendicitis in childhood has changed with regard to diagnosis and therapy. From the first report of conventional appendectomy in 1894 for decades, appendectomy through an incision as described by McBurney [1] has been the gold standard in surgical treatment of (suspected) acute appendicitis. The implementation of ultrasound, scoring systems to support the surgical indication, and minimal invasive techniques for surgery since the 1980s which nowadays range from conventional laparoscopy to single-site surgery have had major impact in the treatment of appendicitis. The aim is to propose practical clinical guidelines for the current gold standard of laparoscopic appendectomy.