While the Laparoscopic Appendectomy Is the Gold Standard in the Treatment of Acute Appendicitis, What Should Be the Preference for Closure of the Appendix Stump?

Autor: Ali Alemdar, Metin Yeşiltaş
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Düzce Tıp Fakültesi Dergisi, Vol 24, Iss 2, Pp 147-151 (2022)
Druh dokumentu: article
ISSN: 1307-671X
DOI: 10.18678/dtfd.1078085
Popis: Aim: While laparoscopic appendectomy is the gold standard in the treatment of acute appendicitis, there is no consensus on reliable closure of the appendix stump. The aim of this study was to examine appendiceal stump closure techniques and their reliability during laparoscopic appendectomy. Material and Methods: Between January 2019 and August 2021, 692 patients who underwent laparoscopic appendectomy with the diagnosis of acute appendicitis were included in the study. Demographic characteristics, length of hospital stay, pathology, appendix stump closure methods, operation time, complications, and cost results were analyzed retrospectively. Results: Intracorporeal knotting (ICK) was used in 66.9% (n=463), and endoclip (EC) was used in 33.1% (n=229) of the patients. There was no statistically significant difference between the two groups in terms of length of hospital stay (p=0.054). While the mean operative time was 55.1±15.6 minutes in the ICK group, it was 45.7±16.5 minutes in the EC group (p
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