Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Securing the appendiceal stump in laparoscopic appendectomy: evidence for routine stapling?

G Kazemier1, K H in't Hof, S Saad

  • 1Department of Surgery, Erasmus Medical Centre Rotterdam, Dr Molewaterplein 40, 3015, GD, Rotterdam, The Netherlands.

Surgical Endoscopy
|July 11, 2006
PubMed
Summary

Endoscopic staplers significantly reduce wound infections and postoperative ileus after laparoscopic appendectomy compared to loop ligatures. This meta-analysis suggests staplers are a safer method for appendix stump closure.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The rationale against a "mandatory" extended hepatectomy in perihilar cholangiocarcinoma: meta-analysis.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2026
Same author

Nutritional aspects and quality of life in gastroesophageal cancer patients that underwent colonic interposition.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2026
Same author

Fat malabsorption and reduced exocrine pancreatic function after gastroesophageal cancer surgery.

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract·2026
Same author

Timing of adjuvant chemotherapy in patients with pancreatic ductal adenocarcinoma: A nationwide analysis.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2025
Same author

Selection for local treatment and outcomes of surgical resection in patients with synchronous colorectal liver metastases: A nationwide population-based study.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2025
Same author

Barriers and Facilitators for Accessing Oral Health Care for Ukrainian Newcomers to Nova Scotia.

JDR clinical and translational research·2025

Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Laparoscopic appendectomy is a common surgical procedure.
  • Appendix stump closure is a critical step.
  • Methods include endoscopic linear stapling and loop ligatures.

Purpose of the Study:

  • To compare the efficacy and safety of endoscopic linear stapling versus loop ligatures for appendix stump closure.
  • To evaluate complication rates, operative time, and hospital stay.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials.
  • Included four studies with 427 patients.
  • Pooled data using standard meta-analytic techniques.

Main Results:

Related Experiment Videos

  • Endoscopic stapling resulted in significantly lower rates of superficial wound infections and postoperative ileus.
  • Operative time was slightly longer with loop ligatures (9 minutes).
  • No significant difference in intra-abdominal abscess or hospital stay was observed.

Conclusions:

  • Clinical evidence favors the routine use of endoscopic staplers for appendix stump closure during laparoscopic appendectomy.
  • Staplers offer improved safety outcomes compared to loop ligatures.