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Apendicectomía endoscópica transcolónica: un enfoque "dos en uno" en un solo paso para la apendicitis recurrente con

Hao Wu¹, Zhu Kai Chen¹, Ai Ping Xu¹

¹Endoscopy Center, Shanghai East Hospital, Tongji University, Shanghai, China.

Journal of digestive diseases

|February 27, 2026

Resumen

La apendicectomía endoscópica transcolónica (AET) ofrece un tratamiento mínimamente invasivo seguro y eficaz para la apendicitis recurrente con lesiones del orificio apendicular. El uso de clips gemelos a través del endoscopio combinado con clips metálicos agiliza el proceso de cierre, reduciendo el tiempo de procedimiento y el uso de clips.

Área de la Ciencia:

Gastroenterología
Cirugía Mínimamente Invasiva
Procedimientos Endoscópicos

Sus antecedentes:

Las lesiones del orificio apendicular pueden ocurrir en pacientes con apendicitis recurrente.
La cirugía convencional puede implicar un trauma innecesario.
La apendicectomía endoscópica transcolónica (AET) es una alternativa mínimamente invasiva propuesta.

Objetivo del estudio:

Evaluar la viabilidad, seguridad y eficacia de la AET.
Comparar la efectividad de dos métodos de cierre: clips gemelos a través del endoscopio (TTS-TC) más clips metálicos frente a clips metálicos solos.

Principales métodos:

Se realizó AET en veinte pacientes con apendicitis recurrente y sin cirugía abdominal previa.
Se analizaron variables clínicas, patológicas y de procedimiento.
Se compararon los resultados entre clips gemelos a través del endoscopio más clips metálicos y clips metálicos solos para el cierre del defecto.

Principales resultados:

Todos los procedimientos de AET fueron técnica y clínicamente exitosos.
El grupo de clips gemelos a través del endoscopio más clips metálicos mostró un menor tiempo de sutura, tiempo de procedimiento y número de clips utilizados en comparación con los clips metálicos solos.
No se informaron eventos adversos y la colonoscopia de seguimiento no reveló lesiones residuales ni recurrencias.

Conclusiones:

La AET es un tratamiento factible, seguro y eficaz para la apendicitis recurrente con lesiones del orificio apendicular.
La AET ofrece un enfoque dual de beneficio mínimamente invasivo.
Un nuevo método de cierre que utiliza clips gemelos a través del endoscopio combinado con clips metálicos puede agilizar el procedimiento.

Palabras clave:

enfermedades apendiculares apendicitis técnicas de clip endoscópico endoscopia gastrointestinal procedimientos quirúrgicos mínimamente invasivos

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