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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...
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Preoperative appendix diameter obtained by computerized tomography scanning predicts conversion from laparoscopic to

O M Akturk1, M Cakir1, D Yildirim1

  • 1Department of General Surgery, Haseki Training and Research Hospital, Istanbul, Turkey.

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|July 5, 2020
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Summary
This summary is machine-generated.

Predicting laparoscopic appendectomy to open appendectomy conversion is crucial. Preoperative appendix diameter, inflammation grade, age, and CRP levels significantly indicate conversion risk.

Keywords:
Appendectomyconversionpredictivity

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Area of Science:

  • General Surgery
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Open appendectomy (OA) was historically the standard procedure.
  • Laparoscopic appendectomy (LA) is now widely adopted.
  • Conversion from LA to OA may be necessary due to surgical challenges.

Purpose of the Study:

  • To predict conversion from laparoscopic appendectomy (LA) to open appendectomy (OA).
  • To evaluate the utility of preoperative radiological appendix diameter in predicting conversion.
  • To identify other risk factors associated with LA to OA conversion.

Main Methods:

  • Retrospective cohort study of 320 patients undergoing appendectomy.
  • Analysis of preoperative radiological appendix diameter.
  • Investigation of age, sex, inflammatory serum markers (CRP), and pathology reports.

Main Results:

  • 17 out of 269 LA cases (6.3%) were converted to OA.
  • Appendix diameter (≥14 mm), inflammation grade, age (≥50 years), and CRP levels were significant predictors of conversion.
  • Odds ratios for conversion were 3.03 for appendix diameter and 3 for age.

Conclusions:

  • Preoperative appendix diameter measurement is a valuable tool for predicting LA to OA conversion.
  • Inflammation grade, patient age, and CRP levels are additional significant risk factors for conversion.
  • This preoperative assessment aids surgeons in emergency settings to anticipate and manage potential conversions.