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Related Experiment Videos

Incidental appendectomy during nephrectomy for Wilms' tumor

M Ritchey1, G M Haase, S J Shochat

  • 1National Wilms' Tumor Study Group, Seattle, Washington.

Surgery, Gynecology & Obstetrics
|May 1, 1993
PubMed
Summary

Incidental appendectomy during nephrectomy for Wilms' tumor is not essential. Children who did not have an appendectomy rarely developed appendicitis and experienced no increased morbidity.

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Area of Science:

  • Pediatric Oncology
  • Surgical Oncology

Background:

  • Incidental appendectomy is common during nephrectomy for Wilms' tumor.
  • Concerns exist regarding appendicitis during neutropenia and diagnostic challenges with abdominal pain post-chemotherapy/radiation.

Purpose of the Study:

  • To evaluate the necessity of incidental appendectomy in children undergoing nephrectomy for Wilms' tumor.

Main Methods:

  • Retrospective chart review of 1,910 children from the Third National Wilms' Tumor Study.
  • Analysis of outcomes for patients who underwent incidental appendectomy versus those who did not.

Main Results:

  • 23.8% of patients had an incidental appendectomy.
  • No significant difference in infectious complications or postoperative intestinal obstructions between groups.
  • Only 0.2% of patients without appendectomy developed appendicitis, with no perioperative morbidity.

Conclusions:

  • Incidental appendectomy is not essential for children undergoing nephrectomy for Wilms' tumor.
  • The risk of developing appendicitis post-nephrectomy is low and does not warrant routine incidental appendectomy.

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