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Journals / Bakırköy Tıp Dergisi / 2017 / Cilt: 13 - Sayı: 3

Is Laparoscopy Superior Than Open Surgery in Finding Unexpected Pathologies in Negative Appendectomies?

Laparoskopi negatif apendektomilerde beklenmeyen bulguları saptamada açık cerrahiye göre üstün müdür?

NECDET FATİH YAŞAR
Mustafa Ufuk UYLAŞ
ERSİN ATEŞ
Serdar ERKASAP
ADNAN ŞAHİN
Enver İHTİYAR
Tarık ÇAĞA
Ercüment PAŞAOĞLU
Pages
118–121
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Laparoscopy is an additional diagnotic tool to diagnose alternative pathologic findings in negative appendectomies.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Advantages and disadvantages of laparoscopy in appendectomy is still being investigated.
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Key Findings & Data:The aim of this study is to investigate open and laparoscopic appendectomies in terms of alternative diagnosis in negative appendectomies.Material and Methods: A total of 397 patients who underwent open appendectomy between January 2010-April 2014 and 120 patients who underwent laparoscopic surgery between April 2014-December 2014 in a single institution were included in the study.
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Conclusion & Impact:Conclusion: Laparoscopy is an additional diagnotic tool to diagnose alternative pathologic findings in negative appendectomies.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: Advantages and disadvantages of laparoscopy in appendectomy is still being investigated. The aim of this study is to investigate open and laparoscopic appendectomies in terms of alternative diagnosis in negative appendectomies.Material and Methods: A total of 397 patients who underwent open appendectomy between January 2010-April 2014 and 120 patients who underwent laparoscopic surgery between April 2014-December 2014 in a single institution were included in the study. Average age and gender distribution, preoperative findings (average Alvarado scores and ultrasonographic findings), rate of negative appendectomies and alternative diagnoses were compared.Results: Patient demographics, preoperative findings and rate of negative appendectomies were all similar in laparoscopic and open groups but the rate of the alternative diagnoses in negative appendectomies in laparoscopic group was significantly greater than in open group. Conclusion: Laparoscopy is an additional diagnotic tool to diagnose alternative pathologic findings in negative appendectomies.

Özet

Amaç: Laparoskopik apendektomilerin avantaj ve dezavantajları halen araştırılmaktadır. Bu çalışmanın amacı negatif apendektomilerde alternatif tanı açısında açık cerrahi ile laparoskopinin karşılaştırılmasıdır.Gereç ve Yöntem: Ocak 2010 ile Nisan 2014 tarihleri arasında, tek merkezde açık apendektomi uygulanan 397 hasta ile Nisan 2014 ile Aralık 2014 tarihleri arasında aynı merkezde yapılan laparoskopik apendektomiler çalışmaya dahil edildi. Ortalama yaş, cinsiyet dağılımı, preoperatif bulgular (Alvarado skorları ve ultrasonografi bulguları), negatif apendektomi oranları ve negatif apendektomilerde saptanan alternatif tanılar karşılaştırıldı. Bulgular: Hastaların demografik özellikleri, preoperatif bulguları ve negatif apendektomi oranları laparoskopik ve açık cerrahi gruplarında benzerdi (p>0.05) ancak negatif apendektomilerde saptanan alternatif tanı oranları laparoskopik grupta daha yüksekti (%40.0'a kıyasla %19.6, p<0.05).Sonuç: Laparoskopi negatif apendektomi vakalarında alternatif tanının ortaya konulmasında ilave bir tanı aracıdır.

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Cite This Article

YAŞAR, N. F., UYLAŞ, M. U., ATEŞ, E., ERKASAP, S., ŞAHİN, A., İHTİYAR, E., ÇAĞA, T., PAŞAOĞLU, E. (2017). Is Laparoscopy Superior Than Open Surgery in Finding Unexpected Pathologies in Negative Appendectomies?. Bakırköy Tıp Dergisi, Cilt: 13 - Sayı: 3, 118–121. https://ajindex.com/articles/128288

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