Preoperative predictor of extensive resection for acute appendicitis - 20/03/18
, Shokei Matsumoto ⁎ , Mitsuhide Kitano Abstract |
Background |
Appendectomy has been the preferred treatment of acute appendicitis. However, extensive resection (ER) such as an ileocecal resection is sometimes needed. We analyzed the predictive factors of ER.
Methods |
This was a retrospective study of 927 patients with acute appendicitis in 7 years. The data collected, including demographic characteristics, laboratory tests, computed tomography (CT) findings and days from onset.
Results |
ER was performed in 40 patients (4.3%). Age, days from onset, C-reactive protein (CRP), and the presence of several CT findings were significantly higher in the ER group than others (p < 0.01). In a multivariate analysis, four variables (appendiceal mass, non-visualization of appendix, delayed admission, and CRP) retained statistical significance as predictors of ER (p < 0.01).
Conclusions |
We demonstrated that the four factors are clinically useful for predicting preoperatively whether or not ER is required. These may help in management decisions, including surgical procedure and anesthesia.
El texto completo de este artículo está disponible en PDF.Highlights |
• | Appendectomy can become technically difficult, and extensive resection such as an ileocecal resection is sometimes needed. |
• | Appendiceal mass, non-visualization of appendix, delayed admission, and CRP are clinically useful for predicting ER. |
• | These factors may help in management decisions, including operative methods, conservative management, and anesthesia. |
Keywords : Appendicitis, Ileocecal resection, Abscess, Appendiceal mass, Predictor
Esquema
Vol 215 - N° 4
P. 599-602 - avril 2018 Regresar al número
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