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Application of Microwave Ablation in Laparoscopic Partial Splenectomy
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Postoperative outcomes in laparoscopic appendicectomies with histopathologically normal appendix.

Dimitrios Zosimas, Panagis M Lykoudis, Josh Burke

    Annali Italiani Di Chirurgia
    |November 24, 2018
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    Laparoscopic appendicectomy for normal appendices shows similar postoperative outcomes to those with appendicitis. Morbidity and length of stay are comparable, suggesting routine removal may be considered based on clinical factors.

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    Area of Science:

    • Surgical outcomes
    • Gastrointestinal surgery
    • Diagnostic accuracy in appendicitis

    Background:

    • Laparoscopic appendicectomy is frequently performed for abdominal pain, even with a normal-appearing appendix.
    • The decision to remove a normal appendix during laparoscopy remains a subject of debate.

    Purpose of the Study:

    • To compare postoperative outcomes between laparoscopic appendicectomies performed on patients with histologically normal appendices versus those with confirmed appendicitis.
    • To provide evidence to inform the decision-making process regarding the removal of a normal appendix during laparoscopy.

    Main Methods:

    • Retrospective study of consecutive patients undergoing laparoscopic appendicectomy over a one-year period.
    • Comparison of postoperative outcomes (length of stay, complications) between patients with negative and positive histology for appendicitis.

    Main Results:

    • Out of 134 patients, 42 had negative histology (31.3%) and 92 had positive histology (68.7%).
    • Postoperative complications occurred in 7.5% of all patients (14.3% in the normal appendix group, 4.3% in the appendicitis group).
    • No statistically significant differences were observed in morbidity, length of stay, or complication severity (Clavien-Dindo grading) between the groups.

    Conclusions:

    • Laparoscopic appendicectomy for a normal appendix does not result in inferior postoperative outcomes compared to cases with confirmed appendicitis.
    • The findings suggest that removing a normal appendix during laparoscopy is a viable option, with outcomes comparable to appendicitis cases.
    • The final decision should be individualized, considering the clinical scenario and surgeon's experience.