Comparison between early surgical treatment and conservative treatment of appendicitis in cancer patients. Issue 10 (3rd September 2021)

• Record Type: Journal Article
• Authors: Park, Sin Hye; Park, Sung Sil; Lee, Dong Woon; Park, Hyoung‐Chul; Park, Sung Chan; Hong, Chang Won; Sohn, Dae Kyung; Han, Kyung Su; Chang, Hee Jin; Oh, Jae Hwan
• Is Part Of: ANZ journal of surgery. Volume 91:Issue 10(2021)
• Page Start: 2067
• Page End: 2073
• Publication Date: 2021-09-03
• Subjects: appendectomy -- appendicitis -- cancer -- conservative treatment; Surgery -- Periodicals; 617.005
• DOI: 10.1111/ans.17180
• Languages: English
• ISSNs: 1445-1433

Abstract

Abstract: Backgrounds: In cancer patients, the optimal appendicitis treatment has not been established. Therefore, we aimed to determine the ideal treatment option for appendicitis in cancer patients. Methods: This retrospective study included 185 cancer patients with acute appendicitis who were divided into the early surgical group (n = 152) involving surgery performed within 48 h following the appendicitis diagnosis or the conservative group (n = 33) involving intravenous antibiotics. We compared the appendicitis treatment efficacy between the groups. Results: In the early surgical group, the antibiotic duration [5.5 days (4.0–8.0) vs. 17.0 days (12.5–25.0), p < 0.001] and hospital stay length [7.0 days (5.0–11.75) vs. 10.0 days (8.0–32.0), p < 0.001] were significantly shorter. Regarding pathology, 16/171 (9.4%) patients who underwent surgery exhibited appendiceal tumours. During the 1‐year follow‐up period, one recurrence occurred in each group [1/152 (0.7%) vs. 1/33 (3.0%), p = 0 .326]. The 1‐year treatment success rate was higher in the early surgical group [99.3% (151/152) vs. 42.4% (14/33), p < 0.001]. Conclusion: Early surgical treatment yielded a significantly higher success rate than conservative treatment for appendicitis in cancer patients. Surgery for appendicitis in cancer patients should be considered not only for treatment but also for pathologic confirmation. Abstract : Early surgical treatment resulted in a higher treatment success rate for appendicitis in cancer patients compared to conservative treatment. Surgery for appendicitis in cancer patients should be performed not only for controlling the inflammatory process but also for a definite pathologic confirmation.