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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 21, 2015; 21(7): 2131-2139
Published online Feb 21, 2015. doi: 10.3748/wjg.v21.i7.2131
Published online Feb 21, 2015. doi: 10.3748/wjg.v21.i7.2131
Determination of surgical priorities in appendicitis based on the probability of undetected appendiceal perforation
Sang Chul Lee, Byung-Jo Choi, Say-June Kim, Department of Surgery, Daejeon St. Mary’s Hospital, the Catholic University of Korea, Daejeon 420-743, South Korea
Geon Park, Department of Radiology, Daejeon St. Mary’s Hospital, the Catholic University of Korea, Daejeon 420-743, South Korea
Author contributions: All authors contributed to the manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Say-June Kim, MD, PhD, Department of Surgery, Daejeon St. Mary’s Hospital, The Catholic University of Korea, Daeheung-dong 520-2, Joong-gu, Daejeon 420-743, South Korea. sejoonkim@hanmail.net
Telephone: +82-42-2209520 Fax: +82-42-2209565
Received: June 16, 2014
Peer-review started: June 16, 2014
First decision: June 27, 2014
Revised: July 9, 2014
Accepted: August 13, 2014
Article in press: August 18, 2014
Published online: February 21, 2015
Peer-review started: June 16, 2014
First decision: June 27, 2014
Revised: July 9, 2014
Accepted: August 13, 2014
Article in press: August 18, 2014
Published online: February 21, 2015
Core Tip
Core tip: This study analyzed surgical outcomes of 1236 patients whose computed tomography (CT) scans were suggestive of nonperforated appendicitis, and showed in-hospital gross perforation rate was very low (7.3%) and it was predicted by several factors: body temperature ≥ 37.6 °C, out-of-hospital symptom duration ≥ 7 d, age ≥ 35 years, and appendiceal diameter on CT scan ≥ 8 mm. Therefore, determining operative priority based on risk factors of in-hospital perforation is expected to improve surgical outcomes by reducing perforation rates.