Methods for closure of appendix stump during laparoscopic appendectomy procedure
Burhan Mayir, Cemal Özben Ensari, Tuna Bilecik, Arif Aslaner, Mehmet Tahir Oruç
Most frequent abdominal pathology requiring emergent surgery is acute appendicitis. Laparoscopic Appendectomy has been performed for acute appendicitis treatment since 1983. Closure of stump of appendix is important for prevention of severe post operative complications. Different methods are described for closure such as; stapler, endoloop, titanium clips, non absorbable polymer clips (hem o lock clip), hand made loop, ligasure usage or just cutting with bipolar cautery. It is unclear that which method is most appropriate. In researches, all methods are reported as safe but some have higher costs, some prolongs duration of operation. In this article we reviewed clinical and experimental studies about different methods of stump closure, and we tried to compare advantage of methods in between.
Keywords: Laparoscopic appendectomy, acute appandicite, endostapler, endoloop, hand-made loop
This manuscript was prepared by the invitation of the Editorial Board and its scientific evaluation was carried out by the Editorial Board.
Concept - B.M.; Design - B.M.; Supervision - B.M., M.T.O.; Funding - B.M., T.B.; Materials - B.M.; Data Collection and/or Processing - B.M., C.Ö.E., A.A.; Analysis and/or Interpretation - B.M., C.Ö.E., T.B., A.A., M.T.O.; Literature Review - B.M., A.A.; Writer - B.M.; Critical Review - B.M., C.Ö.E., T.B., A.A., M.T.O.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.