Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Readmission and reoperation rates following negative diagnostic laparoscopy for clinically suspected appendicitis: the "normal" appendix should not be removed - a retrospective cohort study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Harvard

APA

CBE

MLA

Vancouver

Author

Bibtex

@article{63b809019e654ce8b0c02dc26a633006,
title = "Readmission and reoperation rates following negative diagnostic laparoscopy for clinically suspected appendicitis: the {"}normal{"} appendix should not be removed - a retrospective cohort study",
abstract = "BACKGROUND: In cases with clinically suspected appendicitis, there is controversy regarding the decision to remove a macroscopically normal appearing appendix during laparoscopy when no other intra-abdominal pathology is found. The aim of this study was to examine the rate of appendicitis, along with readmission and reoperation rates following diagnostic laparoscopy of clinically suspected appendicitis in patients where the appendix was not removed.METHODS: We performed a retrospective cohort analysis of patients who underwent a diagnostic laparoscopy due to clinical suspicion of appendicitis where no other pathology was found and the appendix was not removed. The study period was from 2008 to 2013 and involved patients from two university hospitals in the Copenhagen area.RESULTS: Of the 271 patients included (81.6{\%} women, median age 27), 56 (20.7 {\%}) were readmitted with right iliac fossa pain after a median time of 10 months (range 1- 84). Twenty-two patients (8.1 {\%}) underwent a new laparoscopic procedure. Appendix was removed in 18 patients, of which only one showed histological signs of inflammation. The median follow-up time was 5.6 years (range 1 - 109 months).CONCLUSION: There was a low rate of appendicitis after a previous negative diagnostic laparoscopy. Therefore, based on results from the current study, we do not consider that it is necessary to remove a macroscopic normal appendix during laparoscopy for clinically suspected appendicitis. The high readmission rate warrants the need for further investigation or follow-up.",
keywords = "Appendectomy, Appendicitis, Laparoscopy, Humans, Middle Aged, Laparoscopy/methods, Male, Reoperation/statistics & numerical data, Young Adult, Appendicitis/surgery, Adolescent, Aged, 80 and over, Appendectomy/methods, Adult, Female, Aged, Retrospective Studies, Patient Readmission/statistics & numerical data, Child",
author = "Khattar, {S{\o}rensen Amira} and Anders Bang-Nielsen and Levic-Souzani Katarina and Christian, {Pommergaard Hans} and Beck, {J{\o}rgensen Anders} and Tolstrup Mai-Britt and Rud Bo and Kovacevic Bojan and Bulut Ohran",
note = "Copyright {\circledC} 2019 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.",
year = "2019",
month = "4",
doi = "10.1016/j.ijsu.2019.02.001",
language = "English",
volume = "64",
pages = "1--4",
journal = "International Surgery",
issn = "0020-8868",
publisher = "International College of Surgeons",

}

RIS

TY - JOUR

T1 - Readmission and reoperation rates following negative diagnostic laparoscopy for clinically suspected appendicitis

T2 - the "normal" appendix should not be removed - a retrospective cohort study

AU - Khattar, Sørensen Amira

AU - Bang-Nielsen, Anders

AU - Katarina, Levic-Souzani

AU - Christian, Pommergaard Hans

AU - Beck, Jørgensen Anders

AU - Mai-Britt, Tolstrup

AU - Bo, Rud

AU - Bojan, Kovacevic

AU - Ohran, Bulut

N1 - Copyright © 2019 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

PY - 2019/4

Y1 - 2019/4

N2 - BACKGROUND: In cases with clinically suspected appendicitis, there is controversy regarding the decision to remove a macroscopically normal appearing appendix during laparoscopy when no other intra-abdominal pathology is found. The aim of this study was to examine the rate of appendicitis, along with readmission and reoperation rates following diagnostic laparoscopy of clinically suspected appendicitis in patients where the appendix was not removed.METHODS: We performed a retrospective cohort analysis of patients who underwent a diagnostic laparoscopy due to clinical suspicion of appendicitis where no other pathology was found and the appendix was not removed. The study period was from 2008 to 2013 and involved patients from two university hospitals in the Copenhagen area.RESULTS: Of the 271 patients included (81.6% women, median age 27), 56 (20.7 %) were readmitted with right iliac fossa pain after a median time of 10 months (range 1- 84). Twenty-two patients (8.1 %) underwent a new laparoscopic procedure. Appendix was removed in 18 patients, of which only one showed histological signs of inflammation. The median follow-up time was 5.6 years (range 1 - 109 months).CONCLUSION: There was a low rate of appendicitis after a previous negative diagnostic laparoscopy. Therefore, based on results from the current study, we do not consider that it is necessary to remove a macroscopic normal appendix during laparoscopy for clinically suspected appendicitis. The high readmission rate warrants the need for further investigation or follow-up.

AB - BACKGROUND: In cases with clinically suspected appendicitis, there is controversy regarding the decision to remove a macroscopically normal appearing appendix during laparoscopy when no other intra-abdominal pathology is found. The aim of this study was to examine the rate of appendicitis, along with readmission and reoperation rates following diagnostic laparoscopy of clinically suspected appendicitis in patients where the appendix was not removed.METHODS: We performed a retrospective cohort analysis of patients who underwent a diagnostic laparoscopy due to clinical suspicion of appendicitis where no other pathology was found and the appendix was not removed. The study period was from 2008 to 2013 and involved patients from two university hospitals in the Copenhagen area.RESULTS: Of the 271 patients included (81.6% women, median age 27), 56 (20.7 %) were readmitted with right iliac fossa pain after a median time of 10 months (range 1- 84). Twenty-two patients (8.1 %) underwent a new laparoscopic procedure. Appendix was removed in 18 patients, of which only one showed histological signs of inflammation. The median follow-up time was 5.6 years (range 1 - 109 months).CONCLUSION: There was a low rate of appendicitis after a previous negative diagnostic laparoscopy. Therefore, based on results from the current study, we do not consider that it is necessary to remove a macroscopic normal appendix during laparoscopy for clinically suspected appendicitis. The high readmission rate warrants the need for further investigation or follow-up.

KW - Appendectomy

KW - Appendicitis

KW - Laparoscopy

KW - Humans

KW - Middle Aged

KW - Laparoscopy/methods

KW - Male

KW - Reoperation/statistics & numerical data

KW - Young Adult

KW - Appendicitis/surgery

KW - Adolescent

KW - Aged, 80 and over

KW - Appendectomy/methods

KW - Adult

KW - Female

KW - Aged

KW - Retrospective Studies

KW - Patient Readmission/statistics & numerical data

KW - Child

UR - http://www.scopus.com/inward/record.url?scp=85062288076&partnerID=8YFLogxK

U2 - 10.1016/j.ijsu.2019.02.001

DO - 10.1016/j.ijsu.2019.02.001

M3 - Journal article

VL - 64

SP - 1

EP - 4

JO - International Surgery

JF - International Surgery

SN - 0020-8868

ER -

ID: 56561211