<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992018000400243</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis retrospectivo de 120 apendicectomías laparoscópicas: utilidad del uso de escalas clínicas y factores predictores de apéndice blanca]]></article-title>
<article-title xml:lang="en"><![CDATA[Utility of clinical scales and predicting factors for non therapeutic apendix]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobedo Berumen]]></surname>
<given-names><![CDATA[Lucia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Lara]]></surname>
<given-names><![CDATA[Ariosto H]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz Hinojosa]]></surname>
<given-names><![CDATA[Jorge Demetrio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mauricio Méndez]]></surname>
<given-names><![CDATA[Horacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Castañeda]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Palacio Villazón]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olguín Goicoechea]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Lara]]></surname>
<given-names><![CDATA[Alan Salvador]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Español División de Pediatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Central Militar División de Endoscopia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles Lomas División de Cirugía General ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Bethesda-Krankenhaus Stuttgart  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Alemania</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad La Salle del Bajío  ]]></institution>
<addr-line><![CDATA[México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>4</numero>
<fpage>243</fpage>
<lpage>249</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992018000400243&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992018000400243&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992018000400243&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La apendicitis aguda es el diagnóstico presuntivo más común en pacientes con dolor abdominal en el servicio de urgencias. El uso de la imagenología ha disminuido el porcentaje de apendicetomías blancas.  Objetivos:  Integrar el manejo de escalas clínicas diagnósticas rutinarias en busca de factores predictores de apéndice blanca.  Material y métodos:  Se realizó un estudio retrospectivo, observacional, descriptivo y longitudinal para buscar factores que contribuyen en el desenlace de una apendicectomía blanca en una institución privada de servicios de salud durante 2011 y 2015. Se analizaron estudios de laboratorio, gabinete y sintomatología, con frecuencia presentados en los cuadros apendiculares y su relación con respecto a resultados por patología de la pieza quirúrgica.  Resultados:  Se reportó 35% de apendicectomías blancas, con predominio en mujeres 73.81 vs. 26.19% en hombres. Las variables más significativas fueron: género, (OR 5.955, IC 95% 1.494-23.735) p = 0.01, migración de dolor (OR 36.20, IC 95% 6.78-193.32) p = 0.0001, leucocitosis (OR 14.102, IC 95% 3.45-57.61) p = 0.0001.  Conclusiones:  La ausencia de migración de dolor y leucocitosis son factores predisponentes del desenlace de apéndice blanca. El sexo femenino fue predominante, por lo que su abordaje diagnóstico previo debe ser más riguroso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Acute appendicitis is the most common presumptive diagnosis in patients with abdominal pain in an emergency department. The use of imaging has decreased the percentage of white appendectomies. The objective is to integrate the management of routine diagnostic clinical scales in the approach of probable acute appendicitis and to look for predictive factors that can avoid a white appendix.  Objectives: To integrate the management of routine diagnostic clinical scales in search of predictors of white appendage.  Material and methods:  A retrospective, observational, descriptive, longitudinal study was conducted to look for factors that contribute to an outcome of a white appendectomy in a private health services institution during 2011 and 2015. Laboratory, cabinet and symptomatology studies were analyzed. , frequently presented in the appendiceal charts and their relation with respect to results by pathology of the surgical piece.  Results:  A 35% of white appendectomies were reported, with predominance in women 73.81 vs 26.19% in men. The most significant variables were; sex (OR 5.955, 95% CI 1.494-23.735) p = 0.01, migration of pain (OR 36.20, 95% CI 6.78-193.32) p = 0.0001, leukocytosis (OR 14.102, 95% CI 3.45-57.61) p = 0.0001.  Conclusions:  The absence of migration of pain and leukocytosis are predisposing factors for the outcome of the white appendix. The female sex was predominant, so their previous diagnostic approach must be more rigorous.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apendicitis]]></kwd>
<kwd lng="es"><![CDATA[laparoscopia]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[apendicectomía no terapéutica]]></kwd>
<kwd lng="es"><![CDATA[apéndice blanca]]></kwd>
<kwd lng="es"><![CDATA[apendicectomía incidental]]></kwd>
<kwd lng="es"><![CDATA[apendicectomía profiláctica]]></kwd>
<kwd lng="en"><![CDATA[Appendicitis]]></kwd>
<kwd lng="en"><![CDATA[laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[nontherapeutic appendectomy]]></kwd>
<kwd lng="en"><![CDATA[white appendix]]></kwd>
<kwd lng="en"><![CDATA[incidental appendectomy]]></kwd>
<kwd lng="en"><![CDATA[prophylactic appendectomy]]></kwd>
</kwd-group>
</article-meta>
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