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Acute appendicitis: Epidemiology, treatment and outcomes- analysis of 16544 consecutive cases

2016; Baishideng Publishing Group; Volume: 8; Issue: 10 Linguagem: Inglês

10.4240/wjgs.v8.i10.693

1948-9366

Marco Ceresoli, Alberto Zucchi, Niccolò Allievi, Asaf Harbi, Michele Pisano, Giulia Montori, Arianna Heyer, Gabriela Nita, Luca Ansaloni, Federico Coccolini,

Diverticular Disease and Complications

AIMTo investigate the epidemiology, treatment and outcomes of acute appendicitis (AA) in a large population study.October 27, 2016|Volume 8|Issue 10| WJGS|www.wjgnet.comCeresoli M et al .Acute appendicitis-epidemiology and treatment 0.32 ± 0.92.Mortality was < 0.0001%.Appendectomy was performed in 94.7% of the patients and the mean length of stay was 5.08 ± 2.88 d; the cumulative hospital stay was 5.19 ± 3.36 d and 1.2% of patients had at least one further hospitalization due intestinal occlusion.Laparoscopic appendectomy was performed in 48% of cases.Percent of 5.34 the patients were treated conservatively with a mean length of stay of 3.98 ± 3.96 d; the relapse rate was 23.1% and the cumulative hospital stay during the study period was 5.46 ± 6.05 d. CONCLUSIONThe treatment of acute appendicitis in Northern Italy is slowly changing, with the large diffusion of laparoscopic approach; conservative treatment of non-complicated appendicitis is still a neglected option, but rich of promising results.