General Surgery Department, Health Sciences University, İstanbul Kanuni Sultan Suleyman Training and Research Hospital, İstanbul, Turkey.
General Surgery Department, İstanbul Medipol University, İstanbul, Turkey.
Niger J Clin Pract. 2023 Jul;26(7):881-888. doi: 10.4103/njcp.njcp_284_22.
Acute appendicitis is the most common emergency requiring surgical intervention in general surgery. Negative appendectomy is defined as the removal of a pathologically normal appendix.
In this study, we aimed to show our negative appendectomy rate.
This study was carried out among 2990 patients who were operated on for appendicitis between 2015-2020 at the Health Sciences University, İstanbul Kanuni Sultan Suleyman Training, and Research Hospital. Accrual and historical records of the patients were analyzed using NCSS (Number Cruncher Statistical System) 2007 Statistical Software (Utah, USA) package program. The results were evaluated at the significance level of P < 0.05.
The mean age of all patients was 33. Of the patients, 1011 were women and 1979 were men. 27 of the women patients were pregnant. We requested a blood test (WBC count) and an abdominal ultrasound for all our patients who came with the complaint of abdominal pain in the right lower quadrant. Negative appendectomy was performed with ultrasonography in 622 patients with pathological diagnoses of lymphoid hyperplasia and fibrous obliteration (20.8%). We had abdominal computerized tomography (CT) for 285 patients and abdominal magnetic resonance imaging (MRI) for 16 of 27 pregnant women (59.25%) due to unclear clinical picture. Diagnostic laparoscopy was performed in 36 of the patients who underwent CT and 4 of the patients who underwent MRI since the diagnosis could not be made. We performed unnecessary appendectomy in 21.2% of the patients.
With the increasing clinical follow-up experience of surgeons and developing technology in radiology, our aim is to minimize the negative appendectomy rate as much as possible.
急性阑尾炎是普通外科中最常见的需要手术干预的急症。阴性阑尾切除术是指切除病理正常的阑尾。
本研究旨在展示我们的阴性阑尾切除率。
这项研究是在 2015 年至 2020 年期间在伊斯坦布尔坎努尼苏丹苏莱曼健康科学大学、伊斯坦布尔坎努尼苏丹苏莱曼培训和研究医院接受阑尾切除术的 2990 名患者中进行的。使用 NCSS（数字计算器统计系统）2007 统计软件（美国犹他州）包程序分析患者的累积和历史记录。结果在 P < 0.05 的显著性水平进行评估。
所有患者的平均年龄为 33 岁。患者中 1011 名为女性，1979 名为男性。27 名女性患者怀孕。我们要求所有右下腹痛就诊的患者进行血液检查（白细胞计数）和腹部超声检查。对病理学诊断为淋巴组织增生和纤维性闭塞的 622 名患者进行了超声检查（20.8%）进行阴性阑尾切除术。由于临床症状不明确，我们对 285 名患者进行了腹部计算机断层扫描（CT），对 16 名怀孕的妇女（59.25%）进行了腹部磁共振成像（MRI）。由于无法做出诊断，对 36 名接受 CT 检查的患者和 4 名接受 MRI 检查的患者进行了诊断性腹腔镜检查。我们对 21.2%的患者进行了不必要的阑尾切除术。
随着外科医生临床随访经验的增加和放射学技术的发展，我们的目标是尽可能降低阴性阑尾切除率。
