Evidence map›Paper›PMID 31446471›Full record

ArticleLangenbeck's archives of surgery2019

A comparison of non-absorbable polymeric clips and staplers for laparoscopic appendiceal stump closure: analysis of 618 adult patients.

K Kliuchanok, W Keßler, I Partecke, U Walschus, T Schulze, C D Heidecke, M Patrzyk

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04094480 (A Comparison Between Non Absorbable Polymeric Clips and Endoloop Ligatures in Securing Appendicular Stump in Laparoscopic Appendicectomy at Assiut University Hospital), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04094480 naunknown statusnot on this map

A Comparison Between Non Absorbable Polymeric Clips and Endoloop Ligatures in Securing Appendicular Stump in Laparoscopic Appendicectomy at Assiut University Hospital

TypeinterventionalSponsorAssiut UniversityRan2019 to 2022Enrolled40ConditionsAppendicitisArmspolymeric non absorbable clips, endoloops
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Observational
  3. 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 · 2024
    Article
  4. Article
  5. Partial cecum resection using endostapler in acute complicated appendicitis with appendiceal base necrosis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022
    Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

K KliuchanokDepartment of Surgery, Ameos Hospital, 17373, Ueckermünde, Germany.
W KeßlerDepartment of General Surgery, Visceral, Thoracic and Vascular Surgery, Universitätsmedizin Greifswald; Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
I ParteckeDepartment of General Surgery, Visceral, Thoracic and Vascular Surgery, Universitätsmedizin Greifswald; Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
U WalschusDepartment of General Surgery, Visceral, Thoracic and Vascular Surgery, Universitätsmedizin Greifswald; Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
T SchulzeDepartment of General Surgery, Visceral, Thoracic and Vascular Surgery, Universitätsmedizin Greifswald; Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
C D HeideckeDepartment of Surgery, Ameos Hospital, 17373, Ueckermünde, Germany.
M PatrzykDepartment of General Surgery, Visceral, Thoracic and Vascular Surgery, Universitätsmedizin Greifswald; Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany. patrzyk@uni-greifswald.de.ORCID http://orcid.org/0000-0002-8061-3610
Universitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this long-term study was the comparison of appendiceal stump closure with polymeric clips or staplers with respect to perioperative costs and surgical outcome under routine conditions in a university centre.

methodsFor this retrospective chart review, a total of 618 patients undergoing laparoscopic appendectomy for suspected acute appendicitis between 2010 and 2017 were reviewed: 410 patients in the stapler group and 208 patients in the clip group. The database contained demographic data, operation time, inflammation parameters, closure method of the stump, surgeon status, length of hospital stay, and complications as well as histology reports. The costs were also compared.

resultsClip application was more likely among younger patients (mean age 33.6 years vs. 41.7 years). Histopathological evidence for appendiceal pathology was found in 96.6% of patients in the clip group and 99.5% of patients in the stapler group. Laparoscopic appendectomy in the clip group was more frequently performed by resident physicians (69.2%) than in the stapler group (57.8%). The mean postoperative stay was 2.9 days in the clip group and 3.7 days in the stapler group. The use of the polymeric clip resulted in considerable cost savings (19.94€ vs. 348.70€).

conclusionsThe use of polymeric clips for appendiceal stump closure during appendectomy is safe and effective. The base of the appendix is amenable to clipping in 32% of appendectomies in adult patients. This study supports the use of polymeric clips over staplers to decrease cost and environmental impact.

Indexed as

Surgical InstrumentsSuturesAdultAppendectomyAppendicitisFemaleHumansLaparoscopyLength of StayMalePostoperative ComplicationsRetrospective StudiesWound Closure TechniquesAcute appendicitisAppendicular stump closureLaparoscopic appendectomyPolymeric non-absorbable clipStapler

Identifiers

PMID31446471
OpenAlexW2969931001

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.