Análisis de pacientes apendicectomizados con anatomía patológica negativa para apendicitis aguda.

Authors

  • Luis Gutiérrez Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Laura Carreña Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Pablo Avila Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Carlos Sciaraffia Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Carlos Jáuregui Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Juan Carlos Oñate Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Francisca López Universidad de Chile
  • Roberto Giannini Universidad de Chile
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Abstract

Acute appendicitis is the most frequent surgical intervention perfomed in emergency services. The clinical features continue to be the method of choice in making a diagnosis, due to the fact that laboratory methods and imaging techniques have not been able to overcome the efficiency of the clinical findings, although they have been constituted as an important aid. In this paper, the rote of patients cases with no appendicitis in their anatomopathological analisys is evaluated. They correspond to a low percentage of total appendectomies (4%), which probably supports a good clínical study, laboratory results and available imaging techniques. On the other hand, diagnostic. laparoscopy has reduced the frequency of inappropriate laparotomies. tour patients presented other serious pathologies with associated apendicular insult, such as caner or Crohn 's Disease: The morbidity and mortality rate in this series corresponds to these last patients.

Keywords:

Apendicitis/diagnóstico , Apendicitis/fisiopatología , Apendicectomía/tendencias , Patología/métodos