@article{oai:ir.kagoshima-u.ac.jp:00014966, author = {平野, 拓郎 and 石神, 純也 and 柳田, 茂寛 and 恵, 浩一 and 橋口, 真征 and 小倉, 芳人 and 辺木, 文平 and 夏越, 祥次}, issue = {1-3}, journal = {鹿児島大学医学雑誌, Medical journal of Kagoshima University}, month = {}, note = {Purpose: To assess the clinical usefulness, problems, and indication of interval appendectomy (IA) in comparison with those of primary appendectomy (PA). Methods: A total of 50 acute appendicitis patients who underwent appendectomy from July 2012 to November 2015 in Ohshima Prefectural Hospital were enrolled. Thirty-six patients, who underwent appendectomy as primary treatment without medication, were included in the PA group and 14 patients who underwent interval appendectomy were included in the IA group. The clinicopathological factors between the two groups were compared and the preoperative risk factors for postoperative complications in the PA group were analyzed. Results: Nine (25%) patients had a postoperative complication in the PA group versus no complication in the IA group (P<0.05). In the PA group, the patients with postoperative complication had significantly higher pulse rate (PR), body temperature (BT), and C-reactive protein (CRP) level than those without postoperative complications (P<0.01). More than two clinical parameters among PR, BT, and CRP level significantly correlated well with postoperative complications (P<0.01). Conclusion: Some patients in the PA group had a risk of postoperative complications. Preoperative clinical parameters (PR, BT, and CRP level) enable us to predict postoperative complications after appendectomy. IA may be suitable for such patients.}, pages = {15--21}, title = {急性虫垂炎に対する待機,非待機手術の検討}, volume = {71}, year = {2019} }