The feasibility of interval laparoscopic appendectomy and appropriate patient selection: A retrospective study of adult appendiceal masses
| Autor: | Seiichi Nakaya, Shunsuke Hayakawa, Shuji Takiguchi, Yosuke Kitayama, Hiroyuki Sagawa, Ryo Ogawa, Tomotaka Okubo, Ayumi Suzuki, Hidehiko Kitagami, Yoichi Matsuo, Moritsugu Tanaka, Shiro Fujihata, Tatsuya Tanaka, Hiroki Takahashi |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Multivariate analysis Appendiceal Mass 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Appendectomy Humans Uncomplicated appendicitis Retrospective Studies business.industry Retrospective cohort study General Medicine Wbc count Perioperative Length of Stay Appendicitis Nonsurgical treatment Surgery Treatment Outcome 030220 oncology & carcinogenesis Cohort Feasibility Studies 030211 gastroenterology & hepatology Laparoscopy business |
| Zdroj: | Asian journal of endoscopic surgeryREFERENCES. 14(2) |
| ISSN: | 1758-5910 |
| Popis: | INTRODUCTION We examined the safety and effectiveness of interval laparoscopic appendectomy (ILA) for adult appendiceal mass (AAM) and then used a novel white blood cell (WBC) parameter to identify the types of AAM cases for which nonsurgical treatment followed by ILA is effective. METHODS We reviewed the cases of 956 patients who had undergone appendectomy between April 2012 and March 2018 at our facility. Of these patients, 49 had AAM, including 34 who underwent ILA. We examined the safety and effectiveness of ILA by comparing it with laparoscopic appendectomy (LA); specifically, the 34 cases treated with ILA were compared with 477 cases of adult uncomplicated appendicitis treated with LA from the same patient cohort. We then examined the factors associated with not successfully completing the planned nonsurgical treatment and interval before ILA. Patient demographics and clinical variables were reviewed. RESULTS Patients who had undergone ILA had longer operative times than those who had undergone LA (P = .0059), but they also had shorter postoperative hospital stays (P |
| Databáze: | OpenAIRE |
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