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Updated: Aug 1, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Ileocecectomy is definitive treatment for advanced appendicitis
J S Lane1, P J Schmit, C F Chandler
1Department of Surgery, UCLA School of Medicine, Olive View-UCLA Medical Center, Sylmar, California 91342, USA.
Ileocecal resection offers a definitive treatment for advanced appendicitis, potentially reducing septic complications and hospital costs. This approach involves removing the affected ileocecal area, often avoiding the need for ileostomy or further operations.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Emergency Medicine
Background:
- Septic complications following appendectomy are a significant cause of morbidity.
- Historically, advanced appendicitis treatment involved appendectomy with cecostomy and/or drainage.
Purpose of the Study:
- To evaluate the efficacy of ileocecal resection for the immediate treatment of advanced appendicitis.
Main Methods:
- Retrospective analysis of 92 patients undergoing ileocecal resection for appendicitis (August 1989 - April 2000).
- Surgical procedures included partial cecectomy, ileocecectomy, and ileocecectomy with diverting ileostomy.
- Preoperative diagnosis aided by X-rays, contrast enemas, CT scans, and ultrasound.
Main Results:
- No mortality was observed. 25 complications (25%) occurred, including postoperative abscesses and wound infections.
- Ileocecal resection was performed with primary anastomosis in most cases, avoiding ileostomy.
- Mean hospital stay was 10.5 days with adjusted costs of $31,689.
Conclusions:
- Ileocecal resection is a viable definitive treatment for advanced appendicitis.
- This approach can reduce infectious complications and hospital costs by obviating ileostomy and secondary operations.
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