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>Journals >Cirugía y Cirujanos >Year 2018, Issue 5


Granados-Romero JJ, Valderrama-Treviño AI, Barrera-Mera B, Uriarte-Ruíz K, Banegas-Ruiz R, Ceballos-Villalva JC
Comparison between endoloop and linear mechanical stapler for the appendicular stump closure
Cir Cir 2018; 86 (5)

Language: Español
References: 18
Page: 428-431
PDF: 286.77 Kb.


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ABSTRACT

Introduction: In the last decades, the approach by minimally invasive surgery of abdominal pathologies is growing due to its evident benefits; the appendicular cases being the main surgical emergency, with different methods of closing the appendicular base. In this article, we compared the appendicular base closure with linear stapler and endoloop, to analyze the frequency of complications such as abscess, dehiscence and seroma. Method: A prospective, observational and descriptive study was conducted, with a total of 703 procedures, using 567 endoloop patients and 136 linear stapler, operated by the same surgeon and surgical team, with a completed learning curve. Results: The complications referred in the present study were patients with abscess (n = 5), dehiscence (n = 3) and seroma (n = 3). According to the phases of the appendiceal pathology: phase 1 or congestive appendix did not present complications; phase 2 or suppurative was reported one case of surgical wound dehiscence in the use of endoloop; in phase 3 or necrotic, one case of seroma was reported in a patient treated with endoloop; while in phase 4 or perforated there is a significant difference in the case of abscesses, reporting five in the use of endoloop and none in the case of a linear stapler. Conclusions: In our study there is no statistically significant difference between the use of linear stapler or endoloop in the early appendicular phases; being of significant utility in Phase 4 the use of linear stapler for the incidence of abscesses.


Key words: Endoloop, Mechanical lineal stapler, Appendicitis, Appendicular stump.


REFERENCIAS

  1. Sauerland S, Jaschinski T, Neugebeauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Databases Syst Rev. 2010;(10):CD001546.

  2. Starvos A, Dimitrios M, Shahab H, Hajibandeh S, Antoniou G, Gorter R, et al. Optimal stump management in laparoscopic appendectomy: a network meta-analysis by the minimally invasive surgery synthesis of interventions and outcomes network. Surgery. 2017;162:994-1005.

  3. Taguchi Y, Komatsu. S, Sakamoto E, Norimizu D, Shingu Y, Hasegawa. Laparoscopic versus open surgery for complicated appendicitis in adults: a randomized controlled trial. Surg Endosc. 2016;30:1705-12.

  4. Swank HA, Van Rossem CC, Van Geloven AAW, In’t Hof KH, Kazemier G, Meijerink WJHJ, et al. Endostapler or endoloops for securing the appendiceal stump in laparoscopic appendectomy: a retrospective cohort study. Surg Endosc. 2014;28:576-83.

  5. Delibegović S, Iljazović E, Katica M, Koluh A. Tissue reaction to absorbable endoloop, nonabsorbable titanium staples, and polymer Hem-o-lok clip after laparoscopic appendectomy. JSLS. 2011;15:70-6.

  6. Naiditch J, Lautz T, Chin A, Browne M, Rowell E. Endoloop as the first line tool for appendiceal stump closure in children with appendicitis. Eur J Pediatr Surg. 2015;25:155-9.

  7. Rakić M, Jukić M, Pogorelić Z, Mrklić I, Kliček R, Družijanić N, et al. Analysis of endoloops and endostaples for closing the appendiceal stump during laparoscopic appendectomy. Surg Today. 2014;44:1716-22.

  8. Bozkurt MA, Unsal MG, Kapan S, Gonenc M, Dogan M, Kalayci MU, et al. Is laparoscopic appendectomy going to be standard procedure for acute appendicitis; a 5-year single center experience with 1,788 patients. Eur J Trauma Emerg Surg. 2014;41:87-9.

  9. Al-Temimi MH, Berglin MA, Kim EG, Tessier DJ, Johna SD. Endostapler versus Hem-O-Lok clip to secure the appendiceal stump and mesoappendix during laparoscopic appendectomy. Am J Surg. 2017;214:1143‑8.

  10. Mehdorn M, Schurmann O, Mehdorn MH, Gockel I. Intended cost reduction in laparoscopic appendectomy by introducing the endoloop: a single center experience. BMC Surg. 2017;17:80.

  11. Van Rossem CC, van Geloven AAW, Schreinemacher MHF, Bemelman WA. Endoloops or endostapler use in laparoscopic appendectomy for acute uncomplicated and complicated appendicitis: no difference in infectious complications. Surg Endosc. 2017;31:178-84.

  12. Sahm M, Kube R, Schmidt S, Ritter C, Pross M, Lippert H. Current analysis of endoloops in appendiceal stump closure. Surg Endosc. 2011;25:124‑9.

  13. Miyano G, Urao M, Lane G, Kato Y, Okazaki T, Yamataka A. Appendiceal stump closure in children with complicated appendicitis: a prospective analysis of endoloops versus endostaples. Asian J Endosc Surg. 2011;4:116-9.

  14. Safavi A, Langer M, Skarsgard ED. Endoloop versus endostapler closure of the appendiceal stump in pediatric laparoscopic appendectomy. Can J Surg. 2012;55:37-40.

  15. Escolino M, Bacmeur F, Saxena A, Holger T, Holcomb G, Esposito C. Endoloop versus endostapler: what is the best option for appendiceal stump closure in children with complicated appendicitis? Results of a multicentric international survey. Surg Endosc. 2018;32:3570-5.

  16. Beldi G, Muggli K, Helbing C, Schlumpf R. Laparoscopic appendectomy using endoloops: a prospective, randomized clinical trial. Surg Endosc. 2004;18:749-50.

  17. Beldi G, Vorburger SA, Bruegger LE, Kocher T, Inderbitzin D, Candinas D. Analysis of stapling versus endoloops in appendiceal stump closure. Br J Surg. 2006;93:1390-3.

  18. Kazemier G, In’t Hof KH, Saad S, Bonjer HJ, Sauerland S. Securing the appendiceal stump in laparoscopic appendectomy: evidence for routine stapling? Surg Endosc. 2006;20:1473-6.






>Journals >Cirugía y Cirujanos >Year 2018, Issue 5
 

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