Comparison of intracorporeal knot tying suture polyglactin and titanium endoclips in laparoscopic appendiceal stump closure
Yükleniyor...
Dosyalar
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: Laparoscopic appendectomy is a well-described surgical
technique. However, concerns still exist regarding whether the
closure of the appendiceal stump should be done with a clip, an
endoloop, staples, or other techniques. Therefore, several modifications
to the original technique with new materials have been
introduced for appendiceal stump closure. The aim of this study
was to compare intracorporeal (polyglactin) knot-tying suture with
titanium endoclips in appendiceal stump closure during laparoscopic
appendectomy.
Methods: The study was carried out as a prospective randomized
clinical trial between April 2010 and February 2011. Patients with a
presentation of appendicitis were included into the study. Two
groups were defined—patients with the titanium endoclip and patients
with the knot-tying (polyglactin) suture. The results in terms
of operating time, complication rates, and hospital stay were analyzed.
Results: Sixty-one patients who underwent laparoscopic appendectomy
were enrolled in the titanium endoclip group (n= 30) or
the knot-tying (polyglactin) suture group (n= 31). No statistically
significant differences were detected between the groups in terms of
the distribution of age, sex percentage, appendix localization, and
histopathologic diagnosis (P> 0.05). One patient required a second
operation on postoperative day 10 because of intraperitoneal
abscess. The mean operative time for the endoclip group
(41.27± 12.2 min) was shorter than that for the knot-tying group
(62.81± 15.4 min) (P= 0.001). No statistically significant differences
were detected between the groups in terms of hospital stay,
follow-up time, and preoperative and postoperative complications
(P> 0.05).
Conclusions: In laparoscopic appendectomy, using a titanium endoclip
for optimizing and controlling the appendiceal stump closure
is safe and is associated with shorter operation time. This also
simplifies the procedure, so it can be a useful alternative to intracorporeal
knot-tying for appendiceal stump closure.
Açıklama
Anahtar Kelimeler
Laparoscopy, Appendectomy, Knot-tying, Endoclip
Kaynak
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
3
Künye
Ateş, M. Dirican, A. İnce, V. Ara, C. Işık, B. Yılmaz, S. (2012). Comparison of intracorporeal knot tying suture polyglactin and titanium endoclips in laparoscopic appendiceal stump closure. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 22(3), 226–231.
