Abstract
We have conducted 380 laparoscopic appendectomies since July 1991 involving injury to the bladder and bleeding of the omentum, but no wound infection, abdominal abscess, or ileus, which are common complications of open surgery. Since acute appendicitis is common, people tend to view its prognosis optimistically. In fact however, it is difficult to treat and to decide whether to operate. It also involves many postoperative complications. These facts must be explained to patients and their families to develop their awareness of what appendectomy actually involves.
