Incidental Appendectomy is Unnecessary in Colorectal Surgery: The Experience of a Single Surgeon in a Single Center
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Abstract:
Purpose. Incidental appendectomies are frequently done during primary colorectal surgery. The benefits and possible adverse side effects of an incidental appendectomy lack evidence; thus, the procedure is controversial. We reviewed the 25-year experience of one specific surgeon in a single center by analyzing the benefits and possible complications, especially adhesion ileus, of incidental appendectomy. Methods. Medical records from 1987 to 2011 were retrospectively analyzed. Emergency operations and right-side colectomies were excluded. Results. We enrolled 701 patients of elective colorectal surgeries (mean age: 63.3 ± 12.2 years old); 106 patients had undergone an incidental appendectomy. There were no significant differences in gender, age, or diagnosis between patients with or without elective appendectomies. There were no significant increase of ileus or decrease it. Conclusion. Incidental appendectomy is a safe procedure without additional risks. It will not increase postoperative ileus, but neither will it decrease the already low incidence of appendicitis after colorectal surgery; therefore, incidental appendectomy did not prove beneficial.Keywords:
Single Center
Colorectal Surgery
Ileus
Medical record
Emergency Surgery
Elective surgery
Postoperative Ileus
Colon resection