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Published on: April 17, 2020
Use of endo-GIA versus endo-loop for securing the appendicular stump in laparoscopic appendicectomy: a systematic
Muhammad S Sajid1, Jasmin Rimple, Elizabeth Cheek
1Department of Colorectal Surgery, Worthing Hospital, Worthing, West Sussex, UK. surgeon1wrh@hotmail.com
Objective:
To systematically analyze the trials on laparoscopic appendicectomy (LA) that has evaluated the effectiveness of endo-loop and/or endo-GIA (a linear stapling device) to secure the stump of the appendix.
Methods:
Clinical trials on LA were selected from the electronic database and analyzed to generate summative data.
Results:
Five randomized trials on 622 patients were analyzed. In both fixed and random effect models, operative time for endo-loop group was longer than endo-GIA group. There was no difference in total hospital stay and in the incidence of intra-abdominal abscess formation between 2 groups. In the fixed effect model, endo-loop technique was associated with higher complication rate.
Conclusions:
Use of endo-loop to secure the appendicular stump during LA though takes longer than the use of endo-GIA but it is associated with equal hospital stay, perioperative complication rate, and incidence of intra-abdominal abscess. Endo-loop may be used safely and preferably to secure the appendicular stump.
