{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T12:40:36Z","timestamp":1776775236597,"version":"3.51.2"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2006,2,8]],"date-time":"2006-02-08T00:00:00Z","timestamp":1139356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2006,2,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Although pathological analysis provides the definitive diagnosis for most resection specimens, recent evidence suggests that such analysis may be omitted for certain routine samples. This was a retrospective analysis of the value of routine histopathological examination performed in daily general surgical practice.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>All specimens from routine appendicectomies, cholecystectomies, haemorrhoidectomies and inguinal hernia repairs performed between 1993 and 2002 were included. The analysis included a comparison of histological and macroscopic diagnoses, review of preoperative and peroperative findings, and an evaluation of the consequences of routine histopathological assessment on patient management and costs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>With the exception of hernia specimens, the rate of submission for routine pathological evaluation was 100 per cent. No hernia sac specimen from more than 2000 interventions revealed aberrant histological findings. Of 311 haemorrhoidectomy specimens three showed malignancy, all of which had a suspicious macroscopic appearance. Of 1465 appendices, only one (0\u00b71 per cent) had a potentially relevant histological diagnosis that was not suspected macroscopically. Among 1523 cholecystectomy specimens, all adenomas (0\u00b76 per cent) and carcinomas (0\u00b74 per cent) were suspected macroscopically or developed in association with a known disease.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The rarity of incidental histological findings relevant to patient management, especially in the absence of macroscopic abnormalities, suggests that routine histological examination of certain specimens may be omitted. A more elementary role for macroscopic examination of the specimen by the surgeon and the pathologist is proposed.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.5268","type":"journal-article","created":{"date-parts":[[2006,2,9]],"date-time":"2006-02-09T22:52:28Z","timestamp":1139525548000},"page":"362-368","source":"Crossref","is-referenced-by-count":80,"title":["Routine surgical pathology in general surgery"],"prefix":"10.1093","volume":"93","author":[{"given":"L E","family":"Matthyssens","sequence":"first","affiliation":[{"name":"Department of General and Digestive Surgery, Universit\u00e9 Paris-XIII, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Ziol","sequence":"additional","affiliation":[{"name":"Department of Pathology, CHU Jean Verdier, Assistance Publique\u2014H\u00f4pitaux de Paris, UFR L\u00e9onard de Vinci, Universit\u00e9 Paris-XIII, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Barrat","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Universit\u00e9 Paris-XIII, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G G","family":"Champault","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Universit\u00e9 Paris-XIII, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2006,2,8]]},"reference":[{"key":"2021070910580981200_bib1","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1097\/00006534-198805000-00043","article-title":"Does this go to pathology?","volume":"81","author":"Smoot","year":"1988","journal-title":"Plast Reconstr Surg"},{"key":"2021070910580981200_bib2","first-page":"40","article-title":"CAP offers recommendations on selecting surgical specimens for examination","volume":"10","author":"Fitzgibbons","year":"1996","journal-title":"CAP Today"},{"key":"2021070910580981200_bib3","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1093\/ajcp\/108.2.158","article-title":"Value-based pathology: a cost\u2013benefit analysis of the examination of routine and nonroutine tonsil and adenoid specimens","volume":"108","author":"Netser","year":"1997","journal-title":"Am J Clin Pathol"},{"key":"2021070910580981200_bib4","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1097\/00007632-199210000-00018","article-title":"Surgical pathology of the intervertebral disc: is routine examination necessary?","volume":"17","author":"Boutin","year":"1992","journal-title":"Spine"},{"key":"2021070910580981200_bib5","first-page":"137","article-title":"Surgonomics and cost containment","volume":"162","author":"Munoz","year":"1986","journal-title":"Surg Gynecol Obstet"},{"key":"2021070910580981200_bib6","first-page":"302","article-title":"The necessity of routine pathologic evaluation of hemorrhoidectomy specimens","volume":"174","author":"Cataldo","year":"1992","journal-title":"Surg Gynecol Obstet"},{"key":"2021070910580981200_bib7","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1001\/jama.1994.03520100085041","article-title":"Clinical decision making: from theory to practice. 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