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Comparison of two methods: Clipping and suturing in laparoscopic appendectomy
Parham Khoshdani Farahani1, Neda Safaei2
1Department of Surgery, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Surgery Open Science
|May 20, 2024
Summary
Endoclips offer a safer and simpler method for closing the appendix stump during laparoscopic appendectomy compared to ligatures, with a shorter operating time and no increase in complications.
Area of Science:
- Surgical Techniques
- Gastrointestinal Surgery
Background:
- Appendix stump closure is critical in laparoscopic appendectomy.
- Common methods include endoclips and intra-corporeal ligatures.
Purpose of the Study:
- To compare the safety and efficacy of endoclips versus intra-corporeal ligatures for appendix stump closure.
- Evaluate intraoperative and postoperative complications and surgical duration.
Main Methods:
- Retrospective study of 50 patients with acute appendicitis.
- Compared 25 patients using endoclips (Group I) with 25 using ligatures (Group II).
- Analyzed intraoperative/postoperative complications and operative time.
Main Results:
- No significant difference in intraoperative or postoperative complications between groups.
- Significantly shorter surgical duration in the endoclip group (p=0.044).
- Hospital stay was longer in the ligature group, but not statistically significant.
Conclusions:
- Endoclips are a safer, simpler method with shorter operating times.
- Endoclips represent a reliable alternative to ligatures for appendix stump closure.
