Westermann C, Mann W J, Chumas J, Rochelson B, Stone M L
Surg Gynecol Obstet. 1986 Apr;162(4):307-12.
Based upon past clinical experience, a policy was established in a teaching service to remove the appendix whenever encountered during extensive gynecologic operations. Retrospectively, all patients operated upon during the subsequent 54 month period were reviewed to determine the success of instituting the policy of mandatory elective appendectomy and to assess the pathologic findings. We found that 93 per cent of the time the policy was followed and appendectomy performed. Definite pathologic findings were found in 14.6 per cent of the specimens and equivocal pathologic findings in an additional 14 per cent. No procedure related morbidity occurred. The incidence of metastasis to the appendix from specific gynecologic malignant diseases is discussed herein.
根据过去的临床经验，一家教学机构制定了一项政策，即在进行广泛的妇科手术时，无论何时遇到阑尾都将其切除。回顾性地对随后54个月期间接受手术的所有患者进行了评估，以确定实施强制性择期阑尾切除术政策的成效，并评估病理检查结果。我们发现，93%的情况下都遵循了该政策并进行了阑尾切除术。在14.6%的标本中发现了明确的病理检查结果，另有14%的标本存在可疑病理检查结果。未发生与手术相关的并发症。本文讨论了特定妇科恶性疾病转移至阑尾的发生率。
