AI Article Synopsis
- The review compares the use of endoclips (EC) versus endoligature (EL) for closing the appendicular stump during laparoscopic appendectomy based on multiple studies.
- Seven studies were included, and results showed no significant differences in complications or hospital stay between EC and EL, but EC was faster and cheaper.
- Endoclips are recommended as a simple, effective, and cost-effective option for appendiceal stump closure in laparoscopic appendectomy.
Article Abstract
Background: Appendicular stump closure is a crucial step during laparoscopic appendectomy. Recently, endoclips (ECs) have been described for ligation of the appendicular stump. The objective of this review was to compare outcomes with EC versus endoligature (EL) for appendiceal stump closure during laparoscopic appendectomy.
Materials And Methods: A literature search of Medline, Embase, Cochrane Database, and Google Scholar was performed to identify studies comparing use of EL versus EC in laparoscopic appendectomy between January 1992 and September 2013. Reviews of each study were conducted, and data were extracted. The random-effects model was used to combine data, and between-study heterogeneity was assessed.
Results: Seven of the 101 identified studies met the inclusion criteria: four randomized controlled trials and three case controlled series. For the primary outcome of perioperative and postoperative complications, there was no significant difference between the EC versus EL groups. No differences were noted in length of hospital stay. However, a significant reduction in operative time was observed with EC as opposed to EL (standardized mean difference=-0.90, 95% confidence interval=-1.26 to -0.54, P=.001). Moreover, EC procedures were less expensive than EL procedures.
Conclusions: EC application in the management of appendiceal stump during laparoscopic appendectomy appears to be simple, efficacious, safe, and a cost-effective alternative.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1089/lap.2014.0470 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Classic yet challenging case of stump appendicitis: a case report.
Ann Med Surg (Lond)
December 2024
Department of Internal Medicine, NAIHS, Nepal.
Introduction: Stump appendicitis is a rare complication of appendectomy in which residual appendiceal tissue becomes inflamed, mimicking acute appendicitis. This case report highlights the classic clinical presentation, diagnosis, and management of stump appendicitis.
Case Presentation: A 61-year-old male presented with abdominal pain and a past history of open appendectomy performed 4 years prior.
Stump appendiceal abscess after appendicectomy: A case report.
Int J Surg Case Rep
December 2024
Hôpital la Rabta, Tunis, Tunisia.
Article Synopsis
- * A case study of a 58-year-old man revealed an appendiceal stump abscess developed eight months post-surgery, confirmed by a CT scan, which led to emergency laparoscopic surgery where complications like perforation were noted.
- * The discussion highlights the importance of imaging for diagnosis and suggests that stump appendicitis, while uncommon, requires careful monitoring and intervention post-appendectomy to prevent serious complications; surgical removal of the stump is the recommended treatment but its best approach remains uncertain.
Effectiveness of different appendiceal stump closure methods in laparoscopic appendectomy a network meta-analysis.
Langenbecks Arch Surg
September 2024
Faculty of Medicine, Hashemite University, Zarqa City, Jordan.
Purpose: Choosing the best stump closure method for laparoscopic appendectomy has been a debated issue, especially for patients with acute appendicitis. The lack of consensus in the literature and the diverse techniques available have prompted the need for a comprehensive evaluation to guide surgeons in selecting the most optimal appendiceal stump closure method.
Methods: A comprehensive search was conducted on multiple databases from inception until December 2023 to find relevant studies according to eligibility criteria.
Background: Appendicitis is a common surgical emergency with diverse clinical presentations, making its diagnosis challenging. Laparoscopic appendectomy has become the standard treatment, with various methods for appendiceal stump closure, including polymeric clips and endoloops. This study aims to compare the efficacy and safety of polymeric clips compared with endoloops in laparoscopic appendectomy.
View Article and Find Full Text PDFAppendiceal goblet cell adenocarcinoma with perineural invasion extending into the ileocecal lesion.
Surg Case Rep
August 2024
Department of Gastroenterological Surgery 1, Hokkaido University Hospital, N-15 W-7, Kita-Ku, Sapporo, Hokkaido, 060-8638, Japan.
Background: Appendiceal goblet cell adenocarcinoma (GCA) is a rare subtype of primary appendiceal adenocarcinoma with an incidence of 1-5 per 10,000,000 people per year. Appendiceal tumors are often diagnosed after appendectomy for acute appendicitis. Notably, however, there is currently no standard treatment strategy for GCA, including additional resection.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!