Retrospective Cohort Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2024; 16(10): 3123-3132
Published online Oct 27, 2024. doi: 10.4240/wjgs.v16.i10.3123
Clinical significance of peri-appendiceal abscess and phlegmon in acute complicated appendicitis patients undergoing emergency appendectomy
Ling-Qiang Min, Jing Lu, Hong-Yong He
Ling-Qiang Min, Hong-Yong He, Department of General Surgery/Emergency Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Jing Lu, Department of Nursing, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Co-first authors: Ling-Qiang Min and Jing Lu.
Author contributions: Min LQ and Lu J contributed equally to this work, and they collected and analyzed the data and wrote the manuscript; He HY designed the study and edited the manuscript; all authors have read and approved the final manuscript.
Supported by The National Natural Science Foundation of China, No. 82373417; The Natural Science Foundation of Shanghai, China, No. 23ZR1409900; and The Clinical Research Fund of Zhongshan Hospital, Fudan University, China, No. ZSLCYJ202343.
Institutional review board statement: This study was approved by the Clinical Research Ethics Committee of Zhongshan Hospital of Fudan University (B2024-321).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong-Yong He, MD, PhD, Associate Chief Physician, Department of General Surgery/Emergency Surgery, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Shanghai 200032, China. he.hongyong@zs-hospital.sh.cn
Received: July 5, 2024
Revised: August 21, 2024
Accepted: September 2, 2024
Published online: October 27, 2024
Processing time: 83 Days and 16.7 Hours
Core Tip

Core Tip: This study explored the clinical implications of peri-appendiceal abscess and phlegmon in the surgical management of acute complicated appendicitis. Through a single-center retrospective analysis, we found that the presence of a peri-appendiceal abscess significantly predicts an extended postoperative hospital stay for patients with acute complicated appendicitis. These findings highlight the importance of considering conservative treatment options in patients presenting with a peri-appendiceal abscess.