Surgical extirpation

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Surgical extirpation is a type of occasionally invasive surgical procedure in which an organ or tissue is completely removed or eradicated. [1] Extirpation is used in the treatment of various medical conditions and also as a means to prevent the spread of cancer. [2]

Types of extirpation

Extirpation of the appendix, or appendectomy, is the standard treatment utilized in cases of acute appendicitis. [3] [4] Approximately 300,000 individuals in the United States have their appendix removed each year. [5]

Extirpation of the colon, or colectomy, is used in the treatment of patient's ulcerative colitis whose condition is resistant to other therapies. In many cases, the removal of the colon may entirely cure the disease. [6] [7] A colectomy may also be utilized in the treatment of colon cancer.

Extirpation of the gallbladder, known as a cholecystectomy, may be used as a treatment for recurrent gallstones or cholecystitis. [8] This type of procedure is typically elective and outcomes following the procedure are typically good. [9] The rate of cholecystectomies being performed on patients with cholecystitis has increased markedly since the first laparoscopic procedure was performed in 1985; jumping from 2.2% in 1996 to 31.4% in 2008. [10] [11]

References

  1. "Surgical extripation". Encyclopædia Britannica. Retrieved 26 April 2020.
  2. therapeutics - Surgical therapy - medicine . Retrieved 2017-09-01.{{cite encyclopedia}}: |website= ignored (help)
  3. Longo, Dan L.; et al., eds. (2012). Harrison's principles of internal medicine (18th ed.). New York: McGraw-Hill. p. Chapter 300. ISBN   978-0-07174889-6 . Retrieved 1 September 2017.
  4. Tintinalli, Judith E. (2011). Emergency medicine : a comprehensive study guide (7. ed.). New York: McGraw-Hill. p. Chapter 84. ISBN   978-0-07-174467-6 . Retrieved 1 September 2017.
  5. Mason, RJ (August 2008). "Surgery for appendicitis: is it necessary?". Surgical Infections. 9 (4): 481–8. doi:10.1089/sur.2007.079. PMID   18687030.
  6. Kornbluth A, Sachar DB (2004). "Ulcerative colitis practice guidelines in adults (update): American College of Gastroenterology, Practice Parameters Committee". The American Journal of Gastroenterology. 99 (7): 1371–85. doi: 10.1111/j.1572-0241.2004.40036.x . PMID   15233681. S2CID   18310799.
  7. Ulcerative colitis at eMedicine
  8. Neri V; Ambrosi A; Fersini A; Tartaglia N; Valentino TP (2007). "Antegrade dissection in laparoscopic cholecystectomy". Journal of the Society of Laparoendoscopic Surgeons. 11 (2): 225–8. PMC   3015719 . PMID   17761085.
  9. "Gallstones". NIDDK. November 2013. Archived from the original on November 20, 2014. Retrieved 1 September 2017.
  10. Bardakcioglu, Ovunc; Khan, Ashraf; Aldridge, Christopher; Chen, Jiajing (August 2013). "Growth of laparoscopic colectomy in the United States: analysis of regional and socioeconomic factors over time". Annals of Surgery. 258 (2): 270–274. doi:10.1097/SLA.0b013e31828faa66. ISSN   1528-1140. PMID   23598378. S2CID   24929078.
  11. Reynolds, Walker (2001). "The First Laparoscopic Cholecystectomy". Journal of the Society of Laparoendoscopic Surgeons. 5 (1): 89–94. ISSN   1086-8089. PMC   3015420 . PMID   11304004.