Videolaparoscopic and morphological parallels in diagnosis of different forms of acute appendicitis

Ermolov A.S.; Samsonov V.T.; Guliaev A.A.; Abdulamitov Kh.K.; Titova G.P.; A Tlibekova M.; Radygina М.V.

doi:https://doi.org/10.17116/hirurgia2016219-23

Ermolov A.S.

NII skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Samsonov V.T.

NII skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Guliaev A.A.

NII SP im. N.V. Sklifosovskogo, Moskva

Abdulamitov Kh.K.

Research Emergency Institute named after N. V. Sklifosovskiy

Titova G.P.

NII SP im. N.V. Sklifosovskogo, Moskva

A Tlibekova M.

N.V. Sklifosovsky Research Institute of Emergency Care, Moscow

Radygina М.V.

Research Institute of emergency medicine named after N.V. Sklifosovskiy, Moscow

Videolaparoscopic and morphological parallels in diagnosis of different forms of acute appendicitis

Authors:

Ermolov A.S., Samsonov V.T., Guliaev A.A., Abdulamitov Kh.K., Titova G.P., A Tlibekova M., Radygina М.V.

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Journal: Pirogov Russian Journal of Surgery. 2016;(2): 19‑23

DOI: 10.17116/hirurgia2016219-23

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To cite this article:

Ermolov AS, Samsonov VT, Guliaev AA, Abdulamitov KhK, Titova GP, A Tlibekova M, Radygina МV. Videolaparoscopic and morphological parallels in diagnosis of different forms of acute appendicitis. Pirogov Russian Journal of Surgery. 2016;(2):19‑23. (In Russ.)
https://doi.org/10.17116/hirurgia2016219-23

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

Aim. To compare results of macroscopic assessment and materials of histological examination of 1635 appendices removed using videolaparoscopy in patients with acute appendicitis. All patients have been treated in N.V.Sklifosovsky Research Institute of Emergency Care for the period from 2002 to 2014. Material and methods. Intraoperative macroscopic assessment of appendix's inflammatory changes was performed using some conventional signs. Сatarrhal, phlegmonous and gangrenous changes were suspected in 77 (4.7%), 1432 (87.5%) and 126 (7.7%) cases respectively. Results. Histological examination revealed catarrhal, phlegmonous and gangrenous changes in 86 (5.3%), 1338 (81.8%) and 115 (7.0%) cases respectively. In 65 (4.0%) patients changes were estimated as chronic, 31 (1.9%) patients had not inflammation. Intraoperatively suspected diagnosis of different forms of appendicitis was confirmed by histological survey in 94.1%. Most cases of matched intraoperative and histological diagnosis were observed in case of phlegmonous appendicitis (88.2%). Only 5.9% of patients had not acute inflammation of appendix that may be explained by overdiagnosis and excess of indications for appendectomy.

Keywords:

videolaparoscopy

histology

appendicitis

Authors:

Ermolov A.S.

NII skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Samsonov V.T.

NII skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Guliaev A.A.

NII SP im. N.V. Sklifosovskogo, Moskva

Abdulamitov Kh.K.

Research Emergency Institute named after N. V. Sklifosovskiy

Titova G.P.

NII SP im. N.V. Sklifosovskogo, Moskva

A Tlibekova M.

N.V. Sklifosovsky Research Institute of Emergency Care, Moscow

Radygina М.V.

Research Institute of emergency medicine named after N.V. Sklifosovskiy, Moscow

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References:

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