[Importance of appendix stump management in laparoscopic appendectomy]

Area of Science:

• Minimally Invasive Surgery
• Surgical Techniques
• Gastrointestinal Surgery

Background:

• Laparoscopic appendectomy offers several technique variations.
• Comparing these techniques is crucial for optimizing patient outcomes and surgical efficiency.

Purpose of the Study:

• To compare the efficacy and safety of three common laparoscopic appendectomy techniques.
• To identify the most reliable and easily learned technique for surgical residents and experienced surgeons.

Main Methods:

• A randomized prospective trial involving 150 patients.
• Patients were divided into three groups (50 each) undergoing different techniques: two endoloops, two endoloops with manual stump sinking, or endo-cutter.
• Complication rates and learning curves were assessed.

Main Results:

• The endo-cutter technique and two endoloops with manual stump sinking demonstrated low risks of local complications.
• Appendectomy using only two endoloops without stump sinking was associated with a higher risk of local complications.
• Manual stump sinking requires significant surgical experience, while the endo-cutter technique is rapidly learned by residents.

Conclusions:

• The endo-cutter technique is recommended as a standard procedure for laparoscopic appendectomy.
• This technique ensures high reliability for both experienced surgeons and surgical novices.
• It offers a balance of low complication risk and ease of adoption.