Receiver-operating characteristic analysis of leukocyte counts and serum C-reactive protein levels in children with advanced appendicitis.


PURPOSE:To assess the diagnostic value of the white blood cell count (WBC) and serum C-reactive protein (CRP) level in children with advanced appendicitis. METHODS:We reviewed 289 children ranging in age from 3 to 15 years old, who underwent appendectomy in our hospital between 1993 and 2003. The advanced appendicitis group consisted of patients with associated perforation, abscess formation, or purulent ascites, and the simple appendicitis group consisted of patients who underwent uncomplicated appendectomy. We compared the age, sex, duration of abdominal pain before surgery, preoperative WBC and CRP level, and hospital stay in the two groups. We analyzed the diagnostic value of WBC and CRP level using a receiver-operating characteristic (ROC) curve. RESULTS:The children in the advanced appendicitis group had a significantly longer duration of pain, a higher serum CRP level, and longer hospitalization than those in the simple group. The serum CRP levels had good diagnostic value in differentiating between the advanced and simple groups. Both the CRP level and the WBC in the patients who suffered abdominal pain for longer than 48 h before surgery had diagnostic value in differentiating between the advanced and simple groups. CONCLUSION:These findings suggest that increased values of CRP and WBC more than 48 h after the onset of acute abdominal symptoms are indicators of advanced appendicitis.


Surg Today


Surgery today


Okamoto T,Sano K,Ogasahara K




Has Abstract


2006-01-01 00:00:00












  • Esophagectomy for thoracic esophageal cancer with a double aortic arch: report of a case.

    abstract::We report the case of a 50-year-old man with a double aortic arch who underwent esophagectomy for cancer in the middle thoracic esophagus at clinical Stage IIA (T3N0M0), based on the TNM classification (UICC 2002). The patient underwent esophagectomy with three-field lymphadenectomy following neoadjuvant chemotherapy....

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Matono S,Fujita H,Tanaka T,Tanaka Y,Nagano T,Nishimura K,Murata K,Sueyoshi S,Shirouzu K

    更新日期:2011-08-01 00:00:00

  • Proliferation of osteoclast-like giant cells in a metastatic bone tumor from stomach cancer: report of a case and analysis of the autopsy findings.

    abstract::A 70-year-old man who had undergone esophagectomy with reconstructive surgery using a portion of the stomach 5 years earlier for esophageal cancer was admitted to our hospital after a routine endoscopy and histological examination of a biopsy specimen revealed poorly differentiated adenocarcinoma in the stomach. A gas...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Saeki T,Mandai K,Moriwaki S,Yamagami K,Sakamoto N,Takiyama W,Takashima S

    更新日期:1996-01-01 00:00:00

  • Long-term outcomes of living donor liver transplantation after locoregional treatment for hepatocellular carcinoma: an experience from a single institute.

    abstract:PURPOSE:The precise role of downstaging or bridge therapy for cirrhotic patients with hepatocellular carcinoma (HCC) beyond or within the Milan criteria (MC) before living donor liver transplantation (LDLT) remains undefined. METHODS:We conducted a single-center, retrospective cohort study of 40 cirrhotic patients wit...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Inomata K,Yagi H,Hibi T,Shinoda M,Matsubara K,Abe Y,Kitago M,Obara H,Itano O,Kawachi S,Tanabe M,Wakabayashi G,Shimazu M,Kitagawa Y

    更新日期:2020-08-07 00:00:00

  • Postoperative atrial fibrillation: mechanism, prevention, and future perspective.

    abstract::Postoperative atrial fibrillation (POAF) is the most common complication after cardiac surgery, despite improvements in anesthesia, surgical techniques, and medical therapies. Although beta-blockers have been proven to be effective, the incidence of POAF is around 20 % even with these agents. The mechanism of POAF is ...

    journal_title:Surgery today

    pub_type: 杂志文章,评审


    authors: Shingu Y,Kubota S,Wakasa S,Ooka T,Tachibana T,Matsui Y

    更新日期:2012-09-01 00:00:00

  • Radical mastectomy with parasternal node dissection or radiation to the parasternal region for breast cancer of medial or central location.

    abstract::In order to establish a therapeutic approach for primary breast cancer of medial and central origin, we reviewed 183 patients who had been treated by one of the following three modalities at the Second Department of Surgery, Osaka University Medical School between January, 1965 and December, 1980. Group A (n = 70): st...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Shiba E,Miyauchi K,Kobayashi T,Takai S,Mori T

    更新日期:1992-01-01 00:00:00

  • Intraoperative colonoscopy for stapled anastomosis in colorectal surgery.

    abstract::Although stapling colorectal anastomosis is widely accepted as an alternative for hand-sewn anastomosis, we continue to experience postoperative complications such as anastomotic hemorrhage and leakage, which sometimes lead to serious morbidity or even mortality. To secure stapling colorectal anastomosis, we adopted i...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ishihara S,Watanabe T,Nagawa H

    更新日期:2008-01-01 00:00:00

  • The importance of lifelong follow-up for patients with pheochromocytoma: report of a case.

    abstract::We report herein the case of a patient who developed a malignant recurrence of pheochromocytoma 13 years after undergoing complete resection of a histologically benign, unilateral, sporadic tumor. A discussion on the importance of lifelong follow-up for patients undergoing surgery for pheochromocytoma follows this cas...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Koçak S,Aydintuğ S,Ozbaş S,Ceyhan K,Eraslan S

    更新日期:1996-01-01 00:00:00

  • Infected pancreatic necrosis after extraperitoneal abdominal aortic aneurysm repair: report of a case.

    abstract::We report a case of acute necrotizing pancreatitis after extraperitoneal repair of an abdominal aortic aneurysm (AAA). Acute pancreatitis (AP) is an uncommon complication of vascular surgery; however, managing its local and general consequences, including the eventual pancreatic abscess and the risk of prosthetic infe...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ferrante A,Cina A,Snider F

    更新日期:2008-01-01 00:00:00

  • The importance of neural invasion (NI) as a prognostic factor in diffuse invasive gastric cancer.

    abstract::The relationship between histological factors, including neural invasion (NI), and survival rates in patients with Borrmann type IV diffuse invasive gastric cancer was examined to determine the significance of NI as a prognostic factor. NI was studied histochemically in 75 patients who underwent resection after 1982, ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Tanaka A,Yoshikawa H,Okuno K,Koh K,Watatani M,Matsumura E,Yasutomi M

    更新日期:1997-01-01 00:00:00

  • Mechanical-stapled versus hand-sutured anastomoses in billroth-I reconstruction with distal gastrectomy.

    abstract:PURPOSE:In June 2000, we started performing mechanical-stapled anastomosis (MSA) for Billroth-I reconstruction (B-I) in distal gastrectomy. Thus, we performed a retrospective study to compare the clinical outcome of MSA and conventional hand-sutured anastomosis (HA). METHODS:We evaluated 103 patients who underwent a B...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Takahashi T,Saikawa Y,Yoshida M,Otani Y,Kubota T,Kumai K,Kitajima M

    更新日期:2007-01-01 00:00:00

  • Giant transdiaphragmatic duodenal duplication with an intraspinal neurenteric cyst as part of the split notochord syndrome: report of a case.

    abstract::We report the case of a 6-month-old girl with a giant transdiaphragmatic duodenal duplication connecting to a cervical intraspinal cyst, which compressed the heart and lung, causing severe respiratory distress. We removed the intraspinal neurenteric cyst through a posterior cervical incision at the C6 and C7 level, an...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Wakisaka M,Nakada K,Kitagawa H,Shimada H,Nosaka S

    更新日期:2004-01-01 00:00:00

  • Occurrence of intraperitoneal septic complications after hepatic resections between 1985 and 1990.

    abstract::In this study, the risk factors related to intraperitoneal septic complications occurring after hepatectomy (IPSCH) as well as the effect of various perioperative variables on the outcome of IPSCH between 1985 and 1990 were analyzed. Twenty-one of 211 patients (10.0%) developed IPSCH. The findings in the patients with...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Matsumata T,Yanaga K,Shimada M,Shirabe K,Taketomi A,Sugimachi K

    更新日期:1995-01-01 00:00:00

  • Left upper lobectomy is a risk factor for cerebral infarction after pulmonary resection: a multicentre, retrospective, case-control study in Japan.

    abstract:PURPOSE:The anatomical site of resected lobes may influence postoperative cerebral infarction. The objective of the current study was to determine if left upper pulmonary lobectomy is a risk factor for postoperative cerebral infarction. METHODS:This was a retrospective case-control study in patients undergoing pulmona...

    journal_title:Surgery today

    pub_type: 杂志文章,多中心研究


    authors: Matsumoto K,Sato S,Okumura M,Niwa H,Hida Y,Kaga K,Date H,Nakajima J,Usuda J,Suzuki M,Souma T,Tsuchida M,Miyata Y,Takeshi N,Committee for Patient Safety, Quality Management of Japanese Association for Chest Surgery.

    更新日期:2020-11-01 00:00:00

  • Should robotic gastrectomy become a standard surgical treatment option for gastric cancer?

    abstract::Robotic gastrectomy (RG) using the da Vinci Surgical System for gastric cancer was approved for national medical insurance coverage in Japan in April, 2018, and has been used increasingly since. We reviewed the current evidence on RG, open gastrectomy (OG), and conventional laparoscopic gastrectomy (LG) to identify di...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Shibasaki S,Suda K,Obama K,Yoshida M,Uyama I

    更新日期:2020-09-01 00:00:00

  • Preservation of physiological passage through the remnant stomach prevents postoperative malnutrition after proximal gastrectomy with double tract reconstruction.

    abstract:PURPOSE:Double tract reconstruction (DT) after proximal gastrectomy (PG) is considered beneficial for postoperative nutrition status by preserving the physiological passage of food. We conducted this study to assess postoperative nutrition status based on food passage after this operation. METHODS:The subjects of this...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Yamashita K,Iwatsuki M,Koga Y,Toihata T,Kiyozumi Y,Kuroda D,Eto K,Hiyoshi Y,Iwagami S,Baba Y,Miyamoto Y,Yoshida N,Baba H

    更新日期:2019-09-01 00:00:00

  • Endovascular treatment of an aortobronchial fistula caused by a distal aortic arch mycotic aneurysm: report of a case.

    abstract::We report a case of an aortobronchial fistula causing massive hemoptysis, which was managed by emergency stent grafting. Although this procedure was successful initially, the aortobronchial fistula appeared again 7 months later. Aneurysmectomy, followed by rifampicin-soaked gelatin sealed polyester graft replacement a...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Daitoku K,Fukuda I,Taniguchi S,Minakawa M

    更新日期:2010-01-01 00:00:00

  • Life-threatening complications after pulmonary resection for lung cancer in patients on chronic hemodialysis.

    abstract:PURPOSE:The morbidity and mortality associated with lung cancer surgery in patients on chronic hemodialysis (CHD) is high; however, the relationship between the severity of postoperative complications and clinicopathological features is unclear. METHODS:Among 1214 consecutive patients who underwent pulmonary resection...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Tomizawa K,Sato K,Ohara S,Fujino T,Koga T,Nishino M,Kobayashi Y,Chiba M,Shimoji M,Suda K,Takemoto T,Mitsudomi T

    更新日期:2019-06-01 00:00:00

  • Systematic review of the implementation of simulation training in surgical residency curriculum.

    abstract:PURPOSE:We reviewed the literature regarding the specific methods and strategies for implementing simulation-based training into the modern surgical residency curriculum. Residency programs are still struggling with how best to implement it into their curricula from a practical viewpoint. METHODS:A systematic review w...

    journal_title:Surgery today

    pub_type: 杂志文章,meta分析,评审


    authors: Kurashima Y,Hirano S

    更新日期:2017-07-01 00:00:00

  • Surgical treatment of hepatocellular carcinoma.

    abstract::Local tumor control is still the most important consideration in the treatment of hepatocellular carcinoma (HCC). Surgical treatments, including liver resection and liver transplantation are, and will remain, the first-line therapeutic strategies for local control in patients with primary HCC. Although aggressive live...

    journal_title:Surgery today

    pub_type: 杂志文章,评审


    authors: Hasegawa K,Kokudo N

    更新日期:2009-01-01 00:00:00

  • Current status of robotic gastrectomy for gastric cancer.

    abstract::Although over 3000 da Vinci Surgical System (DVSS) devices have been installed worldwide, robotic surgery for gastric cancer has not yet become widely spread and is only available in several advanced institutions. This is because, at least in part, the advantages of robotic surgery for gastric cancer remain unclear. T...

    journal_title:Surgery today

    pub_type: 杂志文章,评审


    authors: Obama K,Sakai Y

    更新日期:2016-05-01 00:00:00

  • Videothoracoscopic surgery for thoracic neurogenic tumors: a 7-year experience.

    abstract::While videothoracoscopic surgery has rapidly become accepted as an effective method of performing minimally invasive surgery, the advantages and feasibility of using this surgical technique for the treatment of neurogenic tumors of the thorax are not yet well defined. Between August 1992 and May 1999, 15 solitary thor...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Sakumoto N,Inafuku S,Shimoji H,Nomura K,Honma K,Kawabata T,Ohta M,Kuniyoshi M,Ishikawa K,Genka K

    更新日期:2000-01-01 00:00:00

  • Low metabolic activity in primary gastric adenocarcinoma is associated with resistance to chemoradiation and the presence of signet ring cells.

    abstract:PURPOSES:Preoperative chemoradiation is a potential treatment option for localized gastric adenocarcinoma (GAC). Currently, the response to chemoradiation cannot be predicted. We analyzed the pretreatment maximum standardized uptake value (SUVmax) and total lesion glycolysis (TLG) on positron emission tomography/comput...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Harada K,Patnana M,Wang X,Iwatsuki M,Murphy MAB,Zhao M,Das P,Minsky BD,Weston B,Lee JH,Bhutani MS,Estrella JS,Shanbhag N,Ikoma N,Badgwell BD,Ajani JA

    更新日期:2020-10-01 00:00:00

  • Surgery or stereotactic body radiotherapy for elderly stage I lung cancer? A propensity score matching analysis.

    abstract:PURPOSE:The aim of this study was to compare the outcomes of surgery and stereotactic body radiotherapy (SBRT) for elderly clinical stage I non-small cell lung cancer (NSCLC) patients. METHODS:Patients ≥80 years of age with clinical stage I NSCLC between August 2008 and December 2014 were treated either surgery or SBR...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Miyazaki T,Yamazaki T,Nakamura D,Sato S,Yamasaki N,Tsuchiya T,Matsumoto K,Kamohara R,Hatachi G,Nagayasu T

    更新日期:2017-12-01 00:00:00

  • Redo Ileal pouch-anal anastomosis combined with anti-TNF-α maintenance therapy for Crohn's disease with pelvic fistula: report of two cases.

    abstract::Pouch failure has been reported to occur after ileal pouch-anal anastomosis for Crohn's disease. We report two cases of patients with Crohn's disease, who underwent redo ileal pouch-anal anastomosis (redo-IPAA) combined with anti-TNF-α maintenance therapy, with good functional results. The first patient, a man with pr...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Araki T,Okita Y,Fujikawa H,Ohi M,Tanaka K,Inoue Y,Uchida K,Mohri Y,Kusunoki M

    更新日期:2014-10-01 00:00:00

  • Properties and identification of cancer stem cells: a changing insight into intractable cancer.

    abstract::Although the idea was originally proposed decades ago, it has recently emerged that cancer can arise from small cell populations that differ from other progenies. These populations have the ability not only to renew themselves, but also to give rise to diverse phenotypes through the process of differentiation. The res...

    journal_title:Surgery today

    pub_type: 杂志文章,评审


    authors: Miyoshi N,Ishii H,Sekimoto M,Haraguchi N,Doki Y,Mori M

    更新日期:2010-07-01 00:00:00

  • Clinicopathological characteristics and long-term outcomes of colorectal cancer in elderly Chinese patients undergoing potentially curative surgery.

    abstract:PURPOSE:The aim of this study was to determine the clinicopathological characteristics and outcomes of Chinese colorectal cancer (CRC) patients aged 75 years and older undergoing potentially curative surgery. METHODS:A total of 2,482 CRC patients at TNM stage I-III undergoing surgical treatment between 1995 and 2005 w...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Yang Z,Chen H,Liao Y,Xiang J,Kang L,Wang L,Cui J,Cai G,Peng J,Lan P,Wang J

    更新日期:2014-01-01 00:00:00

  • Results and complications after laparoscopic sleeve gastrectomy.

    abstract:PURPOSE:Laparoscopic sleeve gastrectomy (SG) has gained popularity and acceptance among bariatric surgeons, mainly due its low morbidity and mortality. The purpose of the present study was to evaluate the efficacy of SG on weight loss, and to determine the postoperative course, clinical presentation and treatment of co...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Mittermair R,Sucher R,Perathoner A

    更新日期:2014-07-01 00:00:00

  • Robotic versus laparoscopic surgery for rectal cancer: an overview of systematic reviews with quality assessment of current evidence.

    abstract:PURPOSE:The clinical benefits of robotic surgery for patients with rectal cancer have been reported and many systematic reviews have been published. However, they have investigated a variety of outcomes and differ remarkably in quality. In this overview, we summarize the findings of these reviews and evaluate their qua...

    journal_title:Surgery today

    pub_type: 杂志文章,评审


    authors: Hoshino N,Sakamoto T,Hida K,Sakai Y

    更新日期:2019-07-01 00:00:00

  • Clinical significance of an increased red blood cell distribution width in patients with rectal cancer undergoing chemoradiotherapy followed by surgery.

    abstract:PURPOSE:The clinical significance of the red blood cell distribution width (RDW) in patients with rectal cancer undergoing preoperative chemoradiotherapy (CRT) followed by surgery has not been fully evaluated. METHODS:In this retrospective study, we investigated the association between the RDW and the prognosis in 120...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ide S,Toiyama Y,Okugawa Y,Omura Y,Kitajima T,Fujikawa H,Hiro J,Ohi M,Kusunoki M

    更新日期:2020-06-01 00:00:00

  • Paragonimiasis westermani presenting as an asymptomatic nodular lesion in the lung: report of a case.

    abstract::A 57-year-old man with a history of having consumed fresh-water crab 8 months previously presented with a solitary mass lesion in the left lung without any symptoms. Since neoplastic disease could not be ruled out, an open biopsy was performed, and histological examination confirmed a definite diagnosis of paragonimia...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Yoshino I,Nawa Y,Yano T,Ichinose Y

    更新日期:1998-01-01 00:00:00