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[Simplified appendectomy without stump embedding. Experiences of 20 years conventional and 5 years laparoscopic
1Chirurgische Klinik, Kreiskrankenhauses Grevenbroich.
Summary
A simplified appendectomy technique without stump embedding, used in over 4,900 open and laparoscopic procedures, shows no stump inadequacy or fistula complications. This safe and effective method for appendectomy should be more widely adopted.
Area of Science:
- Surgical techniques
- Gastrointestinal surgery
Background:
- The Grevenbroich Community Hospital has utilized a simplified open appendectomy technique since 1975.
- This modified procedure avoids stump embedding and has been performed extensively.
Purpose of the Study:
- To evaluate the safety and efficacy of a simplified appendectomy technique without stump embedding.
- To compare outcomes of open and laparoscopic appendectomies using this simplified method.
Main Methods:
- A retrospective analysis of 3,448 open and 1,463 laparoscopic appendectomies performed between 1975 and the present.
- In laparoscopic cases, the appendiceal stump was ligated using only Roeder's loop.
Main Results:
- No cases of stump inadequacy or stercoral fistulae were observed in any of the 4,911 patients.
- The complication rate associated with this technique appears lower than standard procedures, based on literature comparison.
Conclusions:
- The simplified appendectomy technique, both open and laparoscopic, is safe and effective, with zero stump-related complications.
- The success of this method in laparoscopic surgery supports its broader application in open appendectomies.