Metal endoclips for the closure of the appendiceal stump in laparoscopic appendectomy

Closure of the appendiceal stump in laparoscopic appendectomy is the most crucial part of the procedure. In this retrospective clinical study, we describe a technique for laparoscopic appendectomy, in which the appendiceal stump is secured by metal endoclips. Medical data of the patients who underwe...

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Bibliographic Details
Published in:Techniques in coloproctology 2012-04, Vol.16 (2), p.139-141
Main Authors: Alis, H., Gonenc, M., Deniztas, C., Kapan, S., Turhan, A. N.
Format: Article
Language:English
Subjects:
Abdominal Abscess - etiology
Abdominal Surgery
Adolescent
Adult
Aged
Aged, 80 and over
Appendectomy - adverse effects
Appendectomy - instrumentation
Appendectomy - methods
Appendicitis - surgery
Colorectal Surgery
Female
Gastroenterology
Humans
Intestinal Pseudo-Obstruction - etiology
Laparoscopy - adverse effects
Laparoscopy - instrumentation
Laparoscopy - methods
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Proctology
Retrospective Studies
Surgery
Surgical Wound Infection - etiology
Technical Note
Time Factors
Young Adult
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Summary:Closure of the appendiceal stump in laparoscopic appendectomy is the most crucial part of the procedure. In this retrospective clinical study, we describe a technique for laparoscopic appendectomy, in which the appendiceal stump is secured by metal endoclips. Medical data of the patients who underwent laparoscopic appendectomy for acute appendicitis between January 2005 and January 2011 at our institution were reviewed. The patients who had their appendiceal stump secured by metal endoclips were recruited for the study. The outcome measures were the rate of intraoperative and postoperative complications, operative time, and the length of hospital stay. A total of 233 patients were included to the study. The rate of intraoperative and postoperative complications, the mean operative time, and median length of hospital stay were 3 and 4%, 31.1 (15–75) min, and 18 (8–96) h, respectively. The closure of the appendiceal stump with metal endoclips in laparoscopic appendectomy is simple, quick, and safe with outcomes comparable to those of other methods.
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-011-0764-7