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Laparoscopic appendectomy past and present. (A,B) are original pictures of the first laparoscopic appendectomy performed by Semm in 1980: skeletization of the appendix was followed by its ligation at the base with a Roeder loop. (C,D) show the current standard of surgery with the use of a stapler. The significantly better image quality and advanced instruments are evident. Source: Department of Obstetrics and Gynecology, University of Kiel.
