Comparison of clinical and histopathological features of patients who underwent incidental or emergency appendectomy.
Acute appendicitis
Incidental appendectomy
Living donor hepatectomy
Journal
World journal of gastrointestinal surgery
ISSN: 1948-9366
Titre abrégé: World J Gastrointest Surg
Pays: United States
ID NLM: 101532473
Informations de publication
Date de publication:
27 Jan 2019
27 Jan 2019
Historique:
received:
13
10
2018
revised:
13
12
2018
accepted:
29
12
2018
entrez:
2
2
2019
pubmed:
2
2
2019
medline:
2
2
2019
Statut:
ppublish
Résumé
Incidental appendectomy can be defined as the removal of a clinically normal appendix during another surgical procedure unrelated to appendicitis or other appendicular diseases. To compare the demographic, biochemical, and histopathological features of the patients who underwent incidental and standard appendectomy. The demographic, biochemical, and histopathological data of 72 patients (Incidental App group) who underwent incidental appendectomy during living donor hepatectomy at our Liver Transplant Center between June 2009 and December 2016 were compared with data of 288 patients (Acute App group) who underwent appendectomy for presumed acute appendicitis. The Incidental App group was matched at random in a 1:4 ratio with the Acute App group in the same time frame. Appendectomy specimens of both groups were re-evaluated by two experienced pathologists. Statistically significant differences were found between groups in terms of age ( Careful inspection of the entire abdominal cavity is useful for patients undergoing major abdominal surgery such as donor hepatectomy. We think that experience is parallel to the surgeon's foresight, and we should not hesitate to perform incidental appendectomy when necessary.
Sections du résumé
BACKGROUND
BACKGROUND
Incidental appendectomy can be defined as the removal of a clinically normal appendix during another surgical procedure unrelated to appendicitis or other appendicular diseases.
AIM
OBJECTIVE
To compare the demographic, biochemical, and histopathological features of the patients who underwent incidental and standard appendectomy.
METHODS
METHODS
The demographic, biochemical, and histopathological data of 72 patients (Incidental App group) who underwent incidental appendectomy during living donor hepatectomy at our Liver Transplant Center between June 2009 and December 2016 were compared with data of 288 patients (Acute App group) who underwent appendectomy for presumed acute appendicitis. The Incidental App group was matched at random in a 1:4 ratio with the Acute App group in the same time frame. Appendectomy specimens of both groups were re-evaluated by two experienced pathologists.
RESULTS
RESULTS
Statistically significant differences were found between groups in terms of age (
CONCLUSION
CONCLUSIONS
Careful inspection of the entire abdominal cavity is useful for patients undergoing major abdominal surgery such as donor hepatectomy. We think that experience is parallel to the surgeon's foresight, and we should not hesitate to perform incidental appendectomy when necessary.
Identifiants
pubmed: 30705736
doi: 10.4240/wjgs.v11.i1.19
pmc: PMC6354071
doi:
Types de publication
Journal Article
Langues
eng
Pagination
19-26Déclaration de conflit d'intérêts
Conflict-of-interest statement: The authors declare no conflicts of interest regarding this manuscript.
Références
World J Gastroenterol. 2011 Apr 21;17(15):1961-70
pubmed: 21528073
World J Gastroenterol. 2013 Jul 7;19(25):4015-22
pubmed: 23840147
Pediatr Surg Int. 2016 Apr;32(4):321-35
pubmed: 26590816
Am Surg. 2016 Oct;82(10):885-889
pubmed: 27779966
Surg Endosc. 2017 Sep;31(9):3596-3604
pubmed: 28078461
BMJ. 2017 Apr 19;357:j1703
pubmed: 28424152