Comparison of clinical and histopathological features of patients who underwent incidental or emergency appendectomy

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dc.authoridYologlu, Saim/0000-0002-9619-3462
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridTurkmen, Samdanci, Emine/0000-0002-0034-5186
dc.authoridKoc, Cemalettin/0000-0002-5676-6772
dc.authorwosidYologlu, Saim/ABI-8014-2020
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidKocaaslan, hüseyin/GVS-7839-2022
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidTurkmen, Samdanci, Emine/ABH-4716-2020
dc.authorwosidKoc, Cemalettin/B-6430-2018
dc.contributor.authorAkbulut, Sami
dc.contributor.authorKoc, Cemalettin
dc.contributor.authorKocaaslan, Huseyin
dc.contributor.authorGonultas, Fatih
dc.contributor.authorSamdanci, Emine
dc.contributor.authorYologlu, Saim
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:57:27Z
dc.date.available2024-08-04T20:57:27Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND Incidental appendectomy can be defined as the removal of a clinically normal appendix during another surgical procedure unrelated to appendicitis or other appendicular diseases. AIM To compare the demographic, biochemical, and histopathological features of the patients who underwent incidental and standard appendectomy. METHODS The demographic, biochemical, and histopathological data of 72 patients (Incidental App group) who underwent incidental appendectomy during living donor hepatectomy at our Liver Transplant Center between June 2009 and December 2016 were compared with data of 288 patients (Acute App group) who underwent appendectomy for presumed acute appendicitis. The Incidental App group was matched at random in a 1: 4 ratio with the Acute App group in the same time frame. Appendectomy specimens of both groups were re-evaluated by two experienced pathologists. RESULTS Statistically significant differences were found between groups in terms of age (P = 0.044), white blood cell count (P < 0.001), neutrophil (P < 0.001), lymphocyte (P < 0.001), red cell distribution width (P = 0.036), mean corpuscular hemoglobin (P = 0.001), bilirubin (P = 0.002), appendix width (P < 0.001), and presence of acute appendicitis histopathologically (P < 0.001). However, no statistically significant differences were found between groups in terms of gender, platelet, mean platelet volume, mean corpuscular volume, platelet distribution width, appendix length. While the most common histopathological findings in the Incidental App group were normal appendix vermiformis (72.2%), fibrous obliteration (9.7%) and acute appendicitis (6.9%), the most common histopathological findings in the Acute App group were non-perforated acute appendicitis (62.8%), perforated appendicitis (16.7%), lymphoid hyperplasia (8.3%), and appendix vermiformis (6.3%). CONCLUSION Careful inspection of the entire abdominal cavity is useful for patients undergoing major abdominal surgery such as donor hepatectomy. We think that experience is parallel to the surgeon's foresight, and we should not hesitate to perform incidental appendectomy when necessaryen_US
dc.identifier.doi10.4240/wjgs.v11.i1.19
dc.identifier.endpage26en_US
dc.identifier.issn1948-9366
dc.identifier.issue1en_US
dc.identifier.pmid30705736en_US
dc.identifier.startpage19en_US
dc.identifier.urihttps://doi.org/10.4240/wjgs.v11.i1.19
dc.identifier.urihttps://hdl.handle.net/11616/102647
dc.identifier.volume11en_US
dc.identifier.wosWOS:000457264800003en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaishideng Publishing Group Incen_US
dc.relation.ispartofWorld Journal of Gastrointestinal Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLiving donor hepatectomyen_US
dc.subjectIncidental appendectomyen_US
dc.subjectAcute appendicitisen_US
dc.titleComparison of clinical and histopathological features of patients who underwent incidental or emergency appendectomyen_US
dc.typeArticleen_US

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