Predictive factors and outcomes of negative appendectomy
| Autor: | Byeong Geon Jeon |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Younger age Adolescent Operative Time Appendix Unnecessary Procedures Patient Readmission Severity of Illness Index Leukocyte Count Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Chart review White blood cell Republic of Korea medicine Appendectomy Humans Retrospective Studies business.industry Age Factors General Medicine Length of Stay Appendicitis Normal white blood cell count medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Acute appendicitis Female 030211 gastroenterology & hepatology Ultrasonography Tomography X-Ray Computed business |
| Zdroj: | The American Journal of Surgery. 213:731-738 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2016.05.020 |
| Popis: | Background The aim of this study was to assess predictive factors for negative appendectomy and to evaluate the outcomes of negative appendectomy. Methods A retrospective chart review of 4,878 patients who underwent appendectomy at our institution from January 2008 to December 2014 was performed. Results Younger age (≤15 years), normal white blood cell count, appendix diameter of less than 6 mm on computed tomography (CT), and CT grade less than 3 were found to be independent predictive factors for negative appendectomy. When complications were investigated according to the results of pathologic diagnosis, negative appendectomy had more complications than appendectomy for nonperforated appendicitis, and this was statistically significant. Conclusions When CT findings are equivocal, in deciding to operate for acute appendicitis, additional ultrasonography can be performed. Furthermore, if the patient is younger than 15 years and the white blood cell count is normal, it is recommended to monitor changes in symptoms a little longer rather than operating hastily. |
| Databáze: | OpenAIRE |
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