Abstract：
PURPOSE:The postoperative treatment after appendectomy is usually decided on the basis of the surgeons' intraoperative findings. Comparatively, the pathologic diagnosis of appendicitis is confirmed several days after the surgery; therefore, it usually does not affect the postoperative treatment strategy. The aim of this study was to investigate the discrepancies between the surgical and pathologic diagnoses of appendicitis and to identify their clinical implication. METHODS:A retrospective observational study was performed in 1,817 patients who underwent 3-port laparoscopic appendectomy for the final diagnosis of appendicitis. The clinical variables that could estimate the severity of appendicitis and the intensity of postoperative treatment were analyzed and compared according to the surgical and pathologic diagnoses. RESULTS:Of 1,321 cases of surgically simple appendicitis, 254 (29.3%) were pathologically complicated appendicitis. On the other hand, 221 of 496 cases (44.5%) of surgically complicated appendicitis were pathologically simple. Neither the surgical nor the pathologic diagnosis of appendicitis affected the development of postoperative intra-abdominal abscess (P = 0.079 for surgical diagnosis; P = 0.288 for pathologic diagnosis); however, the surgical diagnosis showed more correlation with the severity of disease and the intensity of the treatment pathway than did the pathologic diagnosis. CONCLUSION:There were discrepancies between the surgeons' intraoperative assessment and the pathologists' final histologic diagnosis of appendicitis. The surgeon's classification might be more predictive of the outcome than the pathologist's because only the surgeon's findings are available immediately after surgery.
journal_name
Ann Surg Treat Resjournal_title
Annals of surgical treatment and researchauthors
Cho J,Lee D,Sung K,Baek J,Lee Jdoi
10.4174/astr.2017.93.1.43subject
Has Abstractpub_date
2017-07-01 00:00:00pages
43-49issue
1eissn
2288-6575issn
2288-6796journal_volume
93pub_type
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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abstract：:[This corrects the article on p. 106 in vol. 88, PMID: 25692122.]. ...
journal_title：Annals of surgical treatment and research
pub_type： 已发布勘误
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2014.87.5.245
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2015.88.5.269
更新日期：2015-05-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2015.89.4.215
更新日期：2015-10-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2019.96.6.269
更新日期：2019-06-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
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更新日期：2020-07-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2017.92.3.156
更新日期：2017-03-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2017.93.4.203
更新日期：2017-10-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type：
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2015.88.6.341
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
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journal_title：Annals of surgical treatment and research
pub_type： 已发布勘误
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更新日期：2017-08-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2016.90.3.164
更新日期：2016-03-01 00:00:00
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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doi：10.4174/astr.2019.97.4.168
更新日期：2019-10-01 00:00:00
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journal_title：Annals of surgical treatment and research
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doi：10.4174/astr.2014.86.6.295
更新日期：2014-06-01 00:00:00
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journal_title：Annals of surgical treatment and research
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更新日期：2018-02-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2019.96.1.19
更新日期：2019-01-01 00:00:00
