Is There An Ideal Stump Closure Technique In Laparoscopic Appendectomy?
1Department of General Surgery, Suleyman Demirel University Medical School, Isparta, Turkey.
Surgical Technology International
|April 29, 2016
Summary
The handmade endo-loop technique is a safe, cost-effective, and applicable method for closing the appendiceal stump after laparoscopic appendectomy. This study found no significant differences in surgical outcomes or complications among different closure techniques.
Area of Science:
- Laparoscopic surgery
- Surgical techniques
- Gastrointestinal surgery
Background:
- No standardized method exists for appendiceal stump closure.
- Method selection depends on the appendix's radix condition.
Purpose of the Study:
- To evaluate different appendiceal stump closure techniques during laparoscopic appendectomy for acute appendicitis.
Main Methods:
- Retrospective study of 196 patients undergoing laparoscopic appendectomy.
- Compared stapler, ENDOLOOP®, Hem-o-lok® clip, and handmade endo-loop techniques.
- Evaluated surgery duration, hospital stay, pain, complications, and cost.
Main Results:
- No significant differences in patient characteristics, surgery duration, complications, or analgesic needs.
- Mean hospital stay was two days for all laparoscopic groups.
- Significant difference observed in treatment cost, favoring handmade endo-loop.
Conclusions:
- Handmade endo-loop technique is safe, applicable, and cost-effective for appendiceal stump closure.
- This method offers a viable alternative in laparoscopic appendectomies.
