Current Evidence and Recommendations for Laparoscopic Appendectomy

Acute appendicitis is the most common etiology of the acute abdomen, generally requiring urgent surgical intervention. The lifetime incidence of acute appendicitis is approximate 7%. In 1886, Fitz described the natural course of appendicitis. He began advocating early appendectomy to prevent perforation with subsequent complications of sepsis, shock and potential mortality. In 1894 McBurney introduced the right lower quadrant incision to approach the appendix. The open appendectomy (OA) through a McBurney incision came into favour more than a century ago. It is a simple, safe, quick, and effective operation that can be performed by a general surgeon with the basic surgical instruments.