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Analysis Of Pathology Results Of Our Apendectomy Cases

Year 2016, Volume: 18 Issue: 3, 0 - 0, 01.12.2016

Abstract

Objective: In this study we aimed to evaluate the results of pathology that patients undergoing laparoscopic and open appendectomy with suspected appendicitis from August 2012 to August 2014. Material and Method: In this study data from 131 patients undergoing laparoscopic and open appendectomy between August 2012 and August 2014 in Van Training and Research Hospital were examined retrospectively for demographic characteristics. Results: In the laparoscopic appendectomy group handmade endoloop technique was used for closing the base of the appendix. Mc Burney’s incision was used for open appendectomy. 47% of patients was female (n=61), 53% of patients were male (n=69). The average age of the patients was 27.7 years. According to surgical technique, open appendectomy was performed 15% (n=20), laparoscopic appendectomy was performed 85% (n=110). Postoperative drainage tube was put to 15% of patients (n=20). Wound infection was seen in 4 open appendectomy performed patients (20%). Laparoscopic appendectomy was associated with a shorter hospital stay (2.2 days vs 2.8 days). When the pathology results are analyzed, 2 malignancies are revealed (1,5%), 1 carcinoid tumor, 1 neuroendocrine tumor. After pathology results hemicolectomy was performed. Conclusion: Appendectomy is the most frequently performed surgery, even if macroscopic pathology is not present the risk of malignancy can not be underestimated

References

  • Saia M, Buja A, Baldovin T, Callegaro G, Sandonà P, Mantoan D, et al. Trend, variability, and outcome of open vs. laparoscopic appendectomy based on a large administrative database. Surg Endosc 2012; 26: 2353-9.
  • Suh YJ, Jeong SY, Park KJ, Park JG, Kang SB, Kim DW, et al. Comparison of surgical-site infection between open and laparoscopic appendectomy. J Korean Surg Soc 2012; 82: 35-9.
  • Masoomi H, Mills S, Dolich MO, Ketana N, Carmichael JC, Nguyen NT, et al. Does Laparoscopic Appendectomy Impart an Advantage over Open Appendectomy in Elderly Patients? World J Surg 2012; 36: 1534-9.
  • Ignacio RC, Burke R, Spencer D, Bissell C, Dorsainvil C, Lucha PA. Laparoscopic versus open appendectomy: what is the real difference? Results of a prospective randomized double-blinded trial. Surg Endosc 2004; 18: 334-337.
  • Bresciani C, Perez RO, Habr-Gama A, et al. Laparoscopic versus standard appendectomy outcomes and cost comparisons in the private sector. J Gastrointest Surg 2005; 9: 1174- 1180.
  • Khan MN, Fayyad T, Cecil TD, Moran BJ. Laparoscopic versus open appendectomy: the risk of postoperative infectious complications. JSLS 2007; 11: 363-7.
  • Hussain A, Mahmood H, Nicholls J, El-Hasani S. Prevention of intra-abdominal abscess following laparoscopic appendicectomy for perforated appendicitis: a prospective study. Int J Surg 2008; 6: 374-7.
  • Tan-Tam C, Yorke E, Wasdell M, Barcan C, Konkin D, Blair P. The benefits of laparoscopic appendectomies in obese patients. Am J Surg 2012; 203: 609-12.
  • Ma KW, Chia NH, Yeung HW, Cheung MT. If not appendicitis, then what else can it be? A retrospective review of 1492 appendectomies. Hong Kong Med J 2010;16(1):12- 7.
  • Bucher P, Mathe Z, Demirag A, Morel P. Appendix tumors in the era of laparoscopic appendectomy. Surg Endosc 2004;18(7):1063-6.
  • Spallitta SI, Termine G, Stella M, Calistro V, Marozzi P. Carcinoid of theappendix. A casereport. MinervaChir 2000;55:77-87.
  • Connor SJ, Hanna GB, Frizelle FA. Appendiceal tumors: retrospective clinicopathologic analysis of appendiceal tumors from 7,970 appendectomies. Dis Colon Rectum 1998;41(1):75-80.
  • Modlin IM, Lye KD, Kidd M. A 5-decade analysis of 13715 carcinoid tumors. Cancer 2003;97:934-959.

APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ

Year 2016, Volume: 18 Issue: 3, 0 - 0, 01.12.2016

Abstract

Amaç: Bu çalışmadaki amacımız Ağustos 2012- Ağustos 2014 tarihleri arasında akut apandisittanısıyla laparoskopik ve açık teknikle apendektomi yapılan olguların patoloji sonuçlarıaçısından irdelenmesidir.Gereç ve Yöntem: Bu çalışmada Ağustos 2012 ve Ağustos 2014 tarihleri arasında Van EğitimAraştırma Hastanesinde akut apandisit ön tanısı ile opere olan 130 hastanın verileri demografiközellikleri, patoloji sonuçları açısından retrospektif olarak değerlendirildi.Bulgular: Hastaların %47’ si bayan (n=61), %53’ü erkekti (n=69). Hastaların yaş ortalaması27,7 yıl idi. Cerrahi teknik olarak %15 açık apendektomi (n=20), %85 laparoskopik apendektomi(n=110) yapıldı. Hastaların %15’ine postop dren konulmuştur (n=20). Yara yeri enfeksiyonuaçık apendektomi yapılan 4 olguda görülmüştür (%20). Laparoskopik apendektomi yapılanhasta grubunda açık apendektomi yapılanlara göre hastanede ortalama kalış süresi daha kısabulundu (2,2 gün, 2,8 gün). Patoloji sonuçları incelendiğinde 1 adet karsinoid tümör, 1 adetnöroendokrin tümör olmak üzere 2 hastada malignite saptandı (%1,5). İki hastaya dalaparoskopik apendektomi sonrası tanı konulmuş olup patoloji sonucu sonrası sağhemikolektomi yapılmıştır.Sonuç: Apendektomi en sık yapılan ameliyatlardan olup makroskopik olarak patolojidüşünülmese bile malignite riski azımsanamayacak derecede mevcuttur

References

  • Saia M, Buja A, Baldovin T, Callegaro G, Sandonà P, Mantoan D, et al. Trend, variability, and outcome of open vs. laparoscopic appendectomy based on a large administrative database. Surg Endosc 2012; 26: 2353-9.
  • Suh YJ, Jeong SY, Park KJ, Park JG, Kang SB, Kim DW, et al. Comparison of surgical-site infection between open and laparoscopic appendectomy. J Korean Surg Soc 2012; 82: 35-9.
  • Masoomi H, Mills S, Dolich MO, Ketana N, Carmichael JC, Nguyen NT, et al. Does Laparoscopic Appendectomy Impart an Advantage over Open Appendectomy in Elderly Patients? World J Surg 2012; 36: 1534-9.
  • Ignacio RC, Burke R, Spencer D, Bissell C, Dorsainvil C, Lucha PA. Laparoscopic versus open appendectomy: what is the real difference? Results of a prospective randomized double-blinded trial. Surg Endosc 2004; 18: 334-337.
  • Bresciani C, Perez RO, Habr-Gama A, et al. Laparoscopic versus standard appendectomy outcomes and cost comparisons in the private sector. J Gastrointest Surg 2005; 9: 1174- 1180.
  • Khan MN, Fayyad T, Cecil TD, Moran BJ. Laparoscopic versus open appendectomy: the risk of postoperative infectious complications. JSLS 2007; 11: 363-7.
  • Hussain A, Mahmood H, Nicholls J, El-Hasani S. Prevention of intra-abdominal abscess following laparoscopic appendicectomy for perforated appendicitis: a prospective study. Int J Surg 2008; 6: 374-7.
  • Tan-Tam C, Yorke E, Wasdell M, Barcan C, Konkin D, Blair P. The benefits of laparoscopic appendectomies in obese patients. Am J Surg 2012; 203: 609-12.
  • Ma KW, Chia NH, Yeung HW, Cheung MT. If not appendicitis, then what else can it be? A retrospective review of 1492 appendectomies. Hong Kong Med J 2010;16(1):12- 7.
  • Bucher P, Mathe Z, Demirag A, Morel P. Appendix tumors in the era of laparoscopic appendectomy. Surg Endosc 2004;18(7):1063-6.
  • Spallitta SI, Termine G, Stella M, Calistro V, Marozzi P. Carcinoid of theappendix. A casereport. MinervaChir 2000;55:77-87.
  • Connor SJ, Hanna GB, Frizelle FA. Appendiceal tumors: retrospective clinicopathologic analysis of appendiceal tumors from 7,970 appendectomies. Dis Colon Rectum 1998;41(1):75-80.
  • Modlin IM, Lye KD, Kidd M. A 5-decade analysis of 13715 carcinoid tumors. Cancer 2003;97:934-959.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Sam Doğan This is me

Mehmet Fuat Çetin This is me

Publication Date December 1, 2016
Published in Issue Year 2016 Volume: 18 Issue: 3

Cite

APA Doğan, S., & Çetin, M. F. (2016). APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ. Duzce Medical Journal, 18(3).
AMA Doğan S, Çetin MF. APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ. Duzce Med J. December 2016;18(3).
Chicago Doğan, Sam, and Mehmet Fuat Çetin. “APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ”. Duzce Medical Journal 18, no. 3 (December 2016).
EndNote Doğan S, Çetin MF (December 1, 2016) APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ. Duzce Medical Journal 18 3
IEEE S. Doğan and M. F. Çetin, “APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ”, Duzce Med J, vol. 18, no. 3, 2016.
ISNAD Doğan, Sam - Çetin, Mehmet Fuat. “APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ”. Duzce Medical Journal 18/3 (December 2016).
JAMA Doğan S, Çetin MF. APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ. Duzce Med J. 2016;18.
MLA Doğan, Sam and Mehmet Fuat Çetin. “APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ”. Duzce Medical Journal, vol. 18, no. 3, 2016.
Vancouver Doğan S, Çetin MF. APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ. Duzce Med J. 2016;18(3).