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[Concordancia del diagnóstico del cirujano con el diagnóstico histopatológico en pacientes adultos intervenidos quirúrgicamente por apendicitis aguda].
| Content Provider | Semantic Scholar |
|---|---|
| Author | Vázquez-Estudillo, Gamaliel Ochoa-Viveros, Edwin Y. Larracilla-Salazar, Ivanhoe Rodarte-Cajica, Gerardo Chiharu, Murata |
| Copyright Year | 2018 |
| Abstract | Objetivo Identificar la concordancia del diagnóstico macroscópico con el diagnóstico histopatológico en pacientes intervenidos -quirúrgicamente por apendicitis aguda (AA) en el Hospital General Naval de Alta Especialidad (HOSGENAES). Método De los pacientes con probable AA operados de apendicetomía en el servicio de cirugía general del HOSGENAES se recuperó el reporte histopatológico con apoyo del archivo electrónico HIS-2 del hospital. La concordancia se realizó por el índice kappa de Cohen. Resultados En este estudio de 200 casos de AA, al categorizar por grupos en relación a la fase de AA fueron diagnosticados por el cirujano 5 (2.5 %) casos como apéndices aparentemente sanos o sin signos inflamatorios, 73 (36.5%) como AA congestiva-catarral, 97 (48.5 %) como flemonosa-supurada, 20 (10 %) como gangrenosa-necrosada y 5 (2.5%) como perforada. El diagnóstico histopatológico arrojó las siguientes cifras: 10 (5%) casos de apéndices sin signos inflamatorios, 61 (30.5%) casos de AA congestiva o catarral, 107 (53.5 %) flemonosa o supurada, 11 (5.5 %) como gangrenosa o necrosada, y 11 (5.5 %) como perforada. Conclusiones Se obtuvo una baja concordancia (kappa: 0.18) en el diagnóstico de AA entre cirujanos y patólogos al clasificarla por fases. Objective To identify the concordance of the macroscopic diagnosis with the histopathological diagnosis in patients surgically treated for Acute Appendicitis (AA) in the Naval General Hospital of High Specialty (HOSGENAES). Methods All the patients with probable AA operated on appendectomy, in the general surgery service of the HOSGENAES, the histopathological report was recovered with support of the HIS-2 electronic file system of the hospital, the agreement was made by Cohen’s kappa index. Results In this study of 200 cases of AA, when categorized by groups in relation to the AA phase in the postoperative period, 5 (2.5%) cases were diagnosed by the surgeon as appendages apparently healthy or without inflammatory signs, 73 (36.5%) as congestive AA or catarrhal, 97 (48.5%) as phlegmonous or suppurative, 20 (10%) as gangrenous or necrotic and 5 (2.5%) as perforated. Histopathological diagnosis yielded the following figures: 10 (5%) cases of appendices without inflammatory signs, 61 (30.5%) cases of congestive or catarrhal AA, 107 (53.5%) phlegmonous or suppurative, 11 (5.5%) as gangrenous or necrotic and 11 (5.5%) as perforated. Conclusions We obtained a low concordance (kappa: 0.18) in the diagnosis of AA among surgeons and pathologists when classifying it by phases. |
| Starting Page | 534 |
| Ending Page | 538 |
| Page Count | 5 |
| File Format | PDF HTM / HTML |
| DOI | 10.24875/CIRU.18000317 |
| PubMed reference number | 30361709 |
| Journal | Medline |
| Volume Number | 86 |
| Issue Number | 6 |
| Journal | Cirugia y cirujanos |
| Alternate Webpage(s) | http://www.cirugiaycirujanos.com/files/p4214bx176-circir-6--p-535-538.pdf |
| Alternate Webpage(s) | https://doi.org/10.24875/CIRU.18000317 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
