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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
730

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Related Experiment Video

Updated: Mar 22, 2026

Neutrophil Extracellular Traps Generated by Low Density Neutrophils Obtained from Peritoneal Lavage Fluid Mediate Tumor Cell Growth and Attachment
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DOES NEUTROPHIL TO LYMPHOCYTE RATIO PREDICT HOSPITAL STAY IN APPENDECTOMY PATIENTS?

Zulfu Bayhan1, Sezgin Zeren1, Ertugrul Kargi2

  • 11 Department of General Surgery, Faculty of Medicine, Dumlupinar University, 43020 Kutahya, Turkey.

International Surgery
|April 26, 2016
PubMed
Summary
This summary is machine-generated.

The neutrophil to lymphocyte ratio (NLR) did not correlate with hospital stay duration after appendectomy. Appendix diameter on CT and pathology findings were associated with longer hospital stays in appendicitis patients.

Keywords:
Neutrophil to lymphocyte ratio, acute appendicitis, computed tomography, appendix diam-eter , length of stay

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Area of Science:

  • Surgical Outcomes Research
  • Inflammatory Biomarkers in Surgery
  • Appendicitis Diagnostics

Background:

  • Investigating predictors of postoperative length of stay (LOS) is crucial for optimizing patient management and healthcare resource allocation.
  • The neutrophil to lymphocyte ratio (NLR) is a readily available biomarker that may reflect systemic inflammation and potentially influence surgical outcomes.
  • Radiological and histopathological findings in appendicitis also warrant investigation for their impact on LOS.

Purpose of the Study:

  • To determine the association between the neutrophil to lymphocyte ratio (NLR) and postoperative length of hospital stay in patients undergoing appendectomy.
  • To evaluate the influence of radiological (CT, ultrasonography) and histopathological findings on the length of hospital stay following appendicitis treatment.

Main Methods:

  • Retrospective analysis of 103 patients diagnosed with appendicitis.
  • Diagnosis confirmed via computed tomography (CT), ultrasonography, and histopathological examination.
  • Correlation analysis between length of hospital stay and various clinical, laboratory (NLR, CRP), and imaging parameters (appendix diameter, localization) and pathology reports.

Main Results:

  • Postoperative length of hospital stay was not significantly correlated with age, gender, NLR, or C-reactive peptide (CRP) levels.
  • Appendix diameter visualized on CT and the presence of phlegmonous appendicitis were associated with a longer hospital stay.
  • Appendix diameter on ultrasonography and appendix localization did not show a significant correlation with length of stay.

Conclusions:

  • The neutrophil to lymphocyte ratio (NLR) is not a significant predictor of postoperative length of hospital stay in acute appendicitis.
  • Appendix diameter on CT and specific histopathological findings (e.g., phlegmonous appendicitis) are key factors influencing the duration of hospitalization after appendectomy.
  • This study provides evidence that CT-measured appendix diameter and pathology reports are more relevant than NLR for predicting LOS in appendicitis.