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Interval Appendectomy after Conservative Treatment of an Appendiceal Mass

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Abstract

Introduction

The purpose of this study was to clarify the role of interval appendectomy after conservative treatment of an appendiceal mass.

Methods

From January 1998 to December 2003, patients with an appendiceal mass who received conservative treatment at the Taipei Veterans General Hospital were studied retrospectively. Data on demographics, rate of appendicitis recurrence, duration of hospital stay, and complication rate were collected and analyzed.

Results

A total of 165 patients were included (89 males, 76 females). The mean age was 53.6 years (range 7–89 years). The rate of appendicitis recurrence after conservative treatment was 25.5%; most recurred within 6 months after discharge (83.3%). The benefit of preventing recurrence is less than 16% if interval appendectomy is performed 6 weeks after discharge and less than 10% if it is done 12 weeks later. The complication rate of appendectomy performed before or after recurrence was 10% in both groups. The duration of the second hospital stay for patients who underwent interval appendectomy before or after recurrence was 4.43 ± 3.32 vs. 6.75 ± 5.73 days (P = 0.023). Of the 165 patients, 17 (10.3%) had their diagnosis changed after survey or surgery, and 5 (3.03%) were found to have colon cancer upon follow-up.

Conclusions

Patients who recovered from conservative treatment of an appendiceal mass should undergo colonoscopy or barium enema to detect any underlying diseases and to rule out coexistent colorectal cancer. Routine interval appendectomy benefits less than 20% of patients.

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References

  1. Nitecki S, Assalia A, Schein M. Contemporary management of the appendiceal mass. Br J Surg 1993;80:18–20

    CAS  PubMed  Google Scholar 

  2. Vakili C. Operative treatment of appendix mass. Am J Surg 1976;131:312–314

    Article  CAS  PubMed  Google Scholar 

  3. McPherson AG, Kinmonth JB. Acute appendicitis and the appendix mass. Br J Surg 1945;32:365–370

    Google Scholar 

  4. Mosegaard A, Nielsen OS. Interval appendectomy. Acta Chir Scand 1979;145:109–111

    CAS  PubMed  Google Scholar 

  5. Friedell ML, Perez-Izquierdo M. Is there a role for interval appendectomy in the management of acute appendicitis? Am Surg 2000;68:1158–1162

    Google Scholar 

  6. Skoubo-Kristensen E, Hvid I. The appendix mass. Ann Surg 1982;196:584–587

    CAS  PubMed  Google Scholar 

  7. Engkvist O. Appendectomy a froid a superfluous routine operation? Acta Chir Scand 1971;137:797–800

    CAS  PubMed  Google Scholar 

  8. Hoffmann J, Lindhard A, Jensen H. Appendix mass: conservative management without interval appendectomy. Am J Surg 1984;148:379–382

    Article  CAS  PubMed  Google Scholar 

  9. Ein SH, Shandling B. Is interval appendectomy necessary after rupture of an appendiceal mass? J Pediatr Surg 1996;31:849–850

    CAS  PubMed  Google Scholar 

  10. Thomas DR. Conservative management of the appendix mass. Surgery 1973;73:677–680

    CAS  PubMed  Google Scholar 

  11. Foran B, Berne TV, Rosoff L. Management of the appendiceal mass. Arch Surg 1978;113:1144–1145

    CAS  PubMed  Google Scholar 

  12. Bradley EL, Isaacs J. Appendiceal abscess revisited. Arch Surg. 1978;113:130–132

    PubMed  Google Scholar 

  13. Paull DL, Bloom GP. Appendiceal abscess. Arch Surg 1982;117:1017–1019

    CAS  PubMed  Google Scholar 

  14. Yamini D, Vargas H, Bongard F, et al. Perforated appendicitis: is it truly a surgical urgency? Am Surg 1998; 64:970–975

    CAS  PubMed  Google Scholar 

  15. Barnes BA, Behringer GE, Weelock FC, et al. Treatment of appendicitis at the Massachusetts General Hospital (1937–1959). JAMA 1962;180:122–126

    CAS  PubMed  Google Scholar 

  16. Willemsen P, Hoorntje LE, Eddes EH, et al. The need for interval appedectomy after resolution of an appendiceal mass questioned. Dig Surg 2002;19:216–222

    Article  PubMed  Google Scholar 

  17. Jordan JS, Kovalcik PJ, Schwab CW. Appendicitis with a palpable mass. Ann Surg 1981;193:227–229

    CAS  PubMed  Google Scholar 

  18. Bagi P, Dueholm S. Nonoperative management of the ultrasonically evaluated appendiceal mass. Surgery 1987;101:602–605

    CAS  PubMed  Google Scholar 

  19. Eriksson S, Styrud J. Interval appendicectomy: a retrospective study. Eur J Surg 1998;164:771–774

    CAS  PubMed  Google Scholar 

  20. Lai HW, Loong CC, Wu CW, et al. Watchful waiting versus interval appendectomy for patients recovered from acute appendicitis with tumor formation: a cost-effectiveness analysis. J Chin Med Assoc 2005;68:431–434

    PubMed  Google Scholar 

  21. Mazziotti MV, Marley EF, Winthrop AL, et al. Histopathologic analysis of interval appendectomy specimen: support for the role of interval appendectomy. J Pediatr Surg 1997;32:806–809

    CAS  PubMed  Google Scholar 

  22. Hsia CY, Chiu JH, Lui WY. Elective interval laparoscopic management for periappendiceal abscess. Chin Med J 1995;56:52–57

    CAS  Google Scholar 

  23. Ahmed I, Deakin D, Parsons SL. Appendix mass: do we know how to treat it? Ann R Coll Surg Engl 2005;87:191–195

    Article  CAS  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, ROC

    Hung-Wen Lai MD, Che-Chuan Loong MD, PhD, Jen-Hwey Chiu MD, PhD, Gar-Yang Chau MD, Chew-Wun Wu MD & Wing-Yui Lui MD

Authors
  1. Hung-Wen Lai MD
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  2. Che-Chuan Loong MD, PhD
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  3. Jen-Hwey Chiu MD, PhD
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  4. Gar-Yang Chau MD
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  5. Chew-Wun Wu MD
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  6. Wing-Yui Lui MD
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Corresponding author

Correspondence to Che-Chuan Loong MD, PhD.

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Lai, HW., Loong, CC., Chiu, JH. et al. Interval Appendectomy after Conservative Treatment of an Appendiceal Mass. World J. Surg. 30, 352–357 (2006). https://doi.org/10.1007/s00268-005-0128-4

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  • DOI: https://doi.org/10.1007/s00268-005-0128-4

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