Laparoscopic appendectomy, stump closure and endoloops: A meta-analysis.
World J Gastrointest Surg
; 14(9): 1060-1071, 2022 Sep 27.
Article
en En
| MEDLINE
| ID: mdl-36185568
ABSTRACT
BACKGROUND:
Acute appendicitis (AA) is one of the main indications for urgent surgery. Laparoscopic appendectomy (LA) has shown advantages in terms of clinical results and cost-effectiveness, even if there is still controversy about different devices to utilize, especially with regards to the endoloop (EL) vs endostapler (ES) when it comes to stump closure.AIM:
To compare safety and cost-effectiveness of EL vs ES.METHODS:
From a prospectively maintained database, data of 996 consecutive patients treated by LA with a 3 years-follow up in the department of Emergency General Surgery - St Orsola University Hospital, Bologna (Italy) were retrieved. A meta-analysis was performed in terms of surgical complications, in comparison to the international literature published from 1995 to 2021.RESULTS:
The meta-analysis showed no evidence regarding wound infections, abdominal abscesses, and total post-operative complications, in terms of superiority of a surgical technique for the stump closure in LA.CONCLUSION:
Even when AA is complicated, the routine use of EL is safe in most patients.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Systematic_reviews
Idioma:
En
Revista:
World J Gastrointest Surg
Año:
2022
Tipo del documento:
Article
País de afiliación:
Italia