Analysis Of Pathology Results Of Our Apendectomy Cases

Yıl 2016, Cilt: 18 Sayı: 3, 0 - 0, 01.12.2016

Sam Doğan Mehmet Fuat Çetin

Öz

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

Anahtar Kelimeler

Acute appendicitis, appendix tumors, appendectomy

APENDEKTOMİ OLGULARIMIZIN PATOLOJİ SONUÇLARI AÇISINDAN İRDELENMESİ

Öz

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

Anahtar Kelimeler

Akut apandisit, appendiks tümörleri, apendektomi

Kaynakça

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