ArticleSurgery today2014
Analysis of endoloops and endostaples for closing the appendiceal stump during laparoscopic appendectomy.
Article in Surgery today, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review on the cost evaluation of two different laparoscopic surgical techniques among 996 appendectomies from a single center.Updates in surgery · 2020Pooled it
- Single or double endoloop ligation in laparoscopic appendicectomy: a mixed-methods study of clinical outcomes and surgeon perspectives.BMC surgery · 2026Article
- Comparison of three different methods for stump closure in laparoscopic appendectomy: Endoloop, Hem-o-lok clip, and endostapler.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Article
- Self-Locking Polymeric Clips Are Safe for the Closure of Appendiceal Stump in Laparoscopic Appendectomy.Medicina (Kaunas, Lithuania) · 2023Article
- Laparoscopic appendectomy, stump closure and endoloops: A meta-analysis.World journal of gastrointestinal surgery · 2022Article
- Article
- Partial cecum resection using endostapler in acute complicated appendicitis with appendiceal base necrosis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022Article
- A new approach to laparoscopic appendectomy in children-clipless/sutureless Harmonic scalpel laparoscopic appendectomy.Langenbeck's archives of surgery · 2022Article
- Acute appendicitis-advances and controversies.World journal of gastrointestinal surgery · 2021Review
- Validity of Appendicitis Inflammatory Response Score in Distinguishing Perforated from Non-Perforated Appendicitis in Children.Children (Basel, Switzerland) · 2021Article
- Transumbilical single-incision laparoscopic appendectomy with extracorporeal hand-sewn stump closure in adult patients.Fujita medical journal · 2021Article
- Closure of the appendiceal stump in laparoscopic appendectomy: A systematic review of the literature.Annals of medicine and surgery (2012) · 2020Review
- Appendiceal stump closure with polymeric clips is a reliable alternative to endostaplers.The Journal of international medical research · 2020Article
- Endoloop versus endostapler: what is the best option for appendiceal stump closure in children with complicated appendicitis? Results of a multicentric international survey.Surgical endoscopy · 2018Article
- Intended cost reduction in laparoscopic appendectomy by introducing the endoloop: a single center experience.BMC surgery · 2017Article
- Appendiceal stump closure using polymeric clips reduces intra-abdominal abscesses.Langenbeck's archives of surgery · 2016Article
- WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis.World journal of emergency surgery : WJES · 2016Review
- Methods for closure of appendix stump during laparoscopic appendectomy procedure.Ulusal cerrahi dergisi · 2015Review
- Open appendectomy with invagination of the stump rather than laparoscopic appendectomy-are we really serious?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAn inadequate closure of the appendiceal stump can lead to intra-abdominal surgical site infections. The aim of this study was to assess the efficiency of different closure techniques by focusing on the intraoperative and postoperative complications versus cost.
methodsFrom June 2011 to June 2013, 333 patients from two different hospitals undergoing laparoscopic appendectomy were included in this study. The patients were divided into two groups based on the technique used for appendiceal stump closure: there were 104 patients in the stapler group and 229 in the loop group.
resultsAmong the 333 patients who underwent laparoscopic appendectomy, there were two (0.6%) intraoperative complications and 22 (6.6%) postoperative complications. There were no significant differences between the groups with respect to the intraoperative and postoperative complications. The length of the operation was 7 min shorter when the endoloop was used (p = 0.014). The mean costs of the operation were significantly lower when the loop was used (<euro> 554.93) compared to the stapler (<euro> 900.70) (p = 0.000).
conclusionsThere is no clinical evidence supporting the routine use of endoscopic staplers. The appendiceal stump can be secured safely with the use of endoloops in the majority of patients. Surgeons have to be more selective when choosing how to perform closure, and an endostapler should be used only in cases where it is clinically indicated.
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