From: Therapeutic strategy for acute appendicitis based on laparoscopic surgery
Characteristics | UA group (n = 218) | CA group (n = 87) | P value | |
---|---|---|---|---|
Background | Age, median (range), years | 33.3 (8–91) | 48.1 (4–88) | < 0.001 |
Sex, Male/ Female, n | 120/ 98 | 47/ 40 | 0.899 | |
Underlying diseases, n (%) | 41 (18.8%) | 33 (37.9%) | 0.001 | |
BMI, median (range), kg/m2 | 21.3 (14.3–36.3) | 21.7 (15.7–33.7) | 0.828 | |
Preoperative tatus | Initial symptoms, n (%) (Localized abdominal pain/ Extensive abdominal pain/ other) | 205 (94%)/ 2 (0.9%)/ 11 (5.1%) | 77 (88.5%)/ 7 (8.1%)/ 3 (3.5%) | 0.004 |
Body temperature, ℃ | 37.0 (35.8–39.8) | 37.5 (36.0–39.8) | < 0.001 | |
Peritonitis on physical examination, n (%) | 18 (8.3%) | 43 (49.4%) | < 0.001 | |
Preoperative data | Albumin, median (range), mg/dL | 4.5 (3.1–5.6) | 4.3 (2.8–5.7) | < 0.001 |
CRP, median (range), mg/dL | 1.45 (0.01–24.96) | 8.65 (0.12–35.89) | < 0.001 | |
WBC, median (range), /μL | 11,500 (3300–24,000) | 12,900 (4200–27,600) | < 0.001 | |
Hb, median (range), mg/dL | 14.2 (7.3–17.0) | 13.7 (5.2–20.4) | 0.253 | |
Neutrophils, median (range), /μL | 9379 (1788–22,224) | 10,919 (3360–23,543) | < 0.001 | |
Lymphocytes, median (range), /μL | 13.9 (3.0–50.6) | 9.2 (2.2–23.0) | < 0.001 | |
Platelet, median (range), 104/μL | 24.1 (8.0–44.4) | 24. (11.0–47.4) | 0.988 | |
CT findings | Appendix diameter, median, (range), mm | 10 (3–20) | 13 (6.3–24) | < 0.001 |
Fecalith, n | 35 (17.4%) | 44 (50.6%) | < 0.001 | |
Ascites, n | 12 (5.5%) | 31 (35.6%) | < 0.001 | |
Abscess, n | 1 (0.5%) | 42 (48.3%) | < 0.001 | |
Initial treatment | Conservative/ Emergent surgery, n % | 176 (80.7%)/ 42 (19.2%) | 31 (35.6%)/ 56 (64.3%) | < 0.001 |
Results | Failure of conservative treatment, % | 0.6% (1/ 176) | 51.6% (16/ 31) | < 0.001 |
Completion rate of laparoscopic surgery, % | 100% (42/42) | 87.5% (56/64) | 0.021 | |
Interval appendectomy, % | 23.9% (42/ 176) | 9.7% (3/ 31) | 0.098 | |
Pathological findings | catarrhal/ phlegmonous/ gangrenous/ chronic | 21 (27.3%)/ 25 (32.5%)/ 7 (9.1%)/ 24 (31.2%) | 1 (2.3%)/ 18 (24.0%)/ 53 (70.7%)/ 3 (4.0%) | < 0.001 |