The morbidity of negative appendicectomy
The morbidity of negative appendicectomy
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DOI：
10.1308/003588414x13946184903801
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发表时间：
2014-10-01
影响因子：
1.4
通讯作者：
Wilson, T. R.
中科院分区：
文献类型：
--
作者：
Lee, M.;Paavana, T.;Wilson, T. R.
简介 越来越多地使用诊断性腹腔镜来治疗右髂窝疼痛，这可能降低了切除正常阑尾的门槛，特别是因为人们认为这种做法几乎不会带来额外的发病率。本次回顾性审核的目的是确定我们繁忙地区医院腹腔镜阑尾切除术 (LA) 后的阴性阑尾切除率，并比较切除发炎或非发炎阑尾后并发症的相对发生率和严重程度。 方法从剧院登记中确定 2011-2012 年接受 LA 的成年患者。检查组织学结果以区分发炎阑尾和正常阑尾。通过电子病历确定术后并发症和出院后事件。使用 Clavien-Dindo 分类对并发症的严重程度进行分层。 结果 2 年来，进行了 467 例 LA，其中 143 例 (30.6%) 为正常阑尾。女性 (43%) 进行阑尾切除术的阴性结果明显多于男性 (17%) (p
INTRODUCTION The increased use of diagnostic laparoscopy for management of right iliac fossa pain may have lowered the threshold for removing normal appendices, particularly as there is a perception that this practice carries little additional morbidity. The aim of this retrospective audit was to determine the negative appendicectomy rate after laparoscopic appendicectomy (LA) in our busy district hospital, and to compare the relative incidence and severity of complications after removal of an inflamed or non-inflamed appendix.METHODS Adult patients who underwent LA in 2011-2012 were identified from theatre registers. Histology results were reviewed to differentiate between inflamed and normal appendices. Postoperative complications and events following discharge were identified via electronic patient records. Complication severity was stratified using the Clavien-Dindo classification.RESULTS Over 2 years, 467 LAs were performed, of which 143 (30.6%) were for normal appendices. Significantly more negative appendicectomies were performed in women (43%) than in men (17%) (p