This is a benign tumor that starts in the mucoceles, which are mucus-filled areas of edema or sacs in the appendix wall. Also known as a carcinoid tumor, this type usually starts in the tip of the appendix and accounts for more than half of appendiceal malignancies. Other tumors are malignant, and thus cancerous, which means they invade and can spread to or from other organs.Īn appendix tumor may be one of the following types: Some appendix tumors are benign, meaning they do not invade and spread. All rights reserved.Share on Pinterest Appendicitis may be the first sign of appendix cancer.Īppendix cancer includes several types of tumor cells that may affect various parts of the appendix. Gangrenous appendicitis can be safely treated as simple appendicitis without increasing postoperative infections or readmissions.Ĭomplex appendicitis Gangrenous appendicitis Perforation.Ĭopyright © 2018 Elsevier Inc. Only one gangrenous appendicitis patient required readmission, and one patient in each group developed a superficial infection there were no postoperative abscesses. Average LOS for gangrenous appendicitis patients decreased from 2.5 to 1.4 days (p < 0.001) and antibiotic doses decreased from 5.2 to 1.3 (p < 0.001). Patients in Group 1 and Group 2 were similar, but more cases of simple appendicitis occurred in Group 2. Data collected included demographics, appendicitis classification, LOS, presence of a postoperative infection, and 30-day readmissions. We switched gangrenous appendicitis to a simple pathway and reviewed all patients undergoing laparoscopic appendectomy for 12 months before (Group 1) and 12 months after (Group 2) the protocol change. In February 2016, we strictly defined complex appendicitis as a hole in the appendix, extraluminal fecalith, diffuse pus or a well-formed abscess. We hypothesized that gangrenous appendicitis could be successfully treated as simple appendicitis, reducing length of stay (LOS) and antibiotic usage without increasing postoperative infections. Studies suggest that gangrenous appendicitis has lower postoperative infection rates relative to perforated cases. Electronic address: presents on a spectrum ranging from inflammation to gangrene to perforation. Electronic address: 6 Nationwide Children's Hospital, Department of Pediatric Surgery, 700 Children's Drive, Columbus, OH, 43205 The Ohio State University College of Medicine, 370 W 9th Ave, Columbus, OH, 43210. Electronic address: 5 Nationwide Children's Hospital, Department of Pediatric Surgery, 700 Children's Drive, Columbus, OH, 43205 The Ohio State University College of Medicine, 370 W 9th Ave, Columbus, OH, 43210. Electronic address: 4 Nationwide Children's Hospital, Department of Pediatric Surgery, 700 Children's Drive, Columbus, OH, 43205. Electronic address: 3 Nationwide Children's Hospital, Department of Pediatric Surgery, 700 Children's Drive, Columbus, OH, 43205. Electronic address: 2 Nationwide Children's Hospital, Department of Pediatric Surgery, 700 Children's Drive, Columbus, OH, 43205 The Ohio State University College of Medicine, 370 W 9th Ave, Columbus, OH, 43210. Electronic address: 1 Nationwide Children's Hospital, Department of Pediatric Surgery, 700 Children's Drive, Columbus, OH, 43205 State University of New York University at Buffalo, Department of General Surgery, 100 High St, Buffalo, NY 14203.
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1 Nationwide Children's Hospital, Department of Pediatric Surgery, 700 Children's Drive, Columbus, OH, 43205 State University of New York University at Buffalo, Department of General Surgery, 100 High St, Buffalo, NY 14203.