>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)
PDF: 286.77 Kb.
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.
||Endoloop, Mechanical lineal stapler, Appendicitis, Appendicular stump.
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>Cirugía y Cirujanos
>Year 2018, Issue 5