caa a22 4500 463199987 CHVBK 20180405153109.0 cr unu---uuuuu 170326e20070301xx s 000 0 eng 10.1007/s00276-007-0182-8 doi (NATIONALLICENCE)springer-10.1007/s00276-007-0182-8 The position of the vermiform appendix at laparoscopy [Elektronische Daten] [Irfan Ahmed, Kristjan Asgeirsson, Ian Beckingham, Dileep Lobo] Background: The vermiform appendix has no constant position and the data on the variations in its position are limited. The aim of this study was to determine the frequency of the various positions of the appendix at laparoscopy. Methods: Patients undergoing emergency or elective laparoscopy at a university teaching hospital between April and September 2004 were studied prospectively. The positions of the appendix and the caecum were determined after insertion of the laparoscope, prior to any other procedure and the relative frequencies calculated. Results: A total of 303 (102 males and 201 females) patients with a median age of 52years (range 18-93years) were studied. An emergency appendicectomy was performed in 67 patients, 49 had a diagnostic laparoscopy, 179 underwent a laparoscopic cholecystectomy and eight had other procedures. The caecum was at McBurney's point in 245 (80.9%) patients, pelvic in 45 (14.9%) and high lying in 13 (4.3%). The appendix was pelvic in 155 (51.2%) patients, pre-ileal in 9 (3.0%), para-caecal in 11 (3.6%), post-ileal in 67 (22.1%) and retrocaecal in 61 (20.1%) patients. Conclusion: Contrary to the common belief the appendix is more often found in the pelvic rather than the retrocaecal position. There is also considerable variation in the position of the caecum. Springer-Verlag, 2007 Vermiform appendix nationallicence Anatomy nationallicence Position nationallicence Laparoscopy nationallicence Variations nationallicence Ahmed Irfan Division of Gastrointestinal Surgery, Wolfson Digestive Diseases Centre, Queen's Medical Centre, Nottingham University Hospitals, Floor E, West Block, NG7 2UH, Nottingham, UK aut Asgeirsson Kristjan Division of Gastrointestinal Surgery, Wolfson Digestive Diseases Centre, Queen's Medical Centre, Nottingham University Hospitals, Floor E, West Block, NG7 2UH, Nottingham, UK aut Beckingham Ian Division of Gastrointestinal Surgery, Wolfson Digestive Diseases Centre, Queen's Medical Centre, Nottingham University Hospitals, Floor E, West Block, NG7 2UH, Nottingham, UK aut Lobo Dileep Division of Gastrointestinal Surgery, Wolfson Digestive Diseases Centre, Queen's Medical Centre, Nottingham University Hospitals, Floor E, West Block, NG7 2UH, Nottingham, UK aut Surgical and Radiologic Anatomy Springer-Verlag 29/2(2007-03-01), 165-168 0930-1038 29:2<165 2007 29 276 https://doi.org/10.1007/s00276-007-0182-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00276-007-0182-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ahmed Irfan Division of Gastrointestinal Surgery, Wolfson Digestive Diseases Centre, Queen's Medical Centre, Nottingham University Hospitals, Floor E, West Block, NG7 2UH, Nottingham, UK aut NATIONALLICENCE 700 1- Asgeirsson Kristjan Division of Gastrointestinal Surgery, Wolfson Digestive Diseases Centre, Queen's Medical Centre, Nottingham University Hospitals, Floor E, West Block, NG7 2UH, Nottingham, UK aut NATIONALLICENCE 700 1- Beckingham Ian Division of Gastrointestinal Surgery, Wolfson Digestive Diseases Centre, Queen's Medical Centre, Nottingham University Hospitals, Floor E, West Block, NG7 2UH, Nottingham, UK aut NATIONALLICENCE 700 1- Lobo Dileep Division of Gastrointestinal Surgery, Wolfson Digestive Diseases Centre, Queen's Medical Centre, Nottingham University Hospitals, Floor E, West Block, NG7 2UH, Nottingham, UK aut NATIONALLICENCE 773 0- Surgical and Radiologic Anatomy Springer-Verlag 29/2(2007-03-01), 165-168 0930-1038 29:2<165 2007 29 276 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer