[Technique and significance of stump management for outcome of laparoscopic appendectomy].

Abstract

We compared 140 appendectomies in a prospective study with regard to length of operation, stay in hospital and intra- and postoperative complications. We operated by four methods and made up four groups, 35 patients in each: (1) application of RODER-loop and manual stump-sinking; (2) application of RODER-loop without manual stump-sinking; (3) application of Endo-GIA; (4) conventional appendectomy according to McBurney. Intraoperative complications occurred mainly in laparoscopic appendectomy, while disturbances of wound-healing were observed mainly in conventional appendectomy. The analysis of postoperative complications in laparoscopic appendectomy showed the most complications in the second group (RODER-loop without stump-sinking), while using the Endo-GIA involved only a little risk. In a clear situs the laparoscopic appendectomy with the RODER-loop with manual stump-sinking is recommended; in cases with a difficult preparation or advanced appendicitis the application of the Endo-GIA is a safe technique with the best results.

• Authors: S Klima, B Schyra
• Journal: Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress (Langenbecks Arch Chir Suppl Kongressbd) Vol. 113 Pg. 556-8 ( 1996) ISSN: 0942-2854 [Print] Germany
• Vernacular Title: Technik und Bedeutung der Stumpfversorgung für das Ergebnis der laparoskopischen Appendektomie.
• PMID: 9101929 (Publication Type: Clinical Trial, Comparative Study, English Abstract, Journal Article, Randomized Controlled Trial)

Topics

• Appendectomy (instrumentation)
• Appendicitis (surgery)
• Electrocoagulation (instrumentation)
• Humans
• Intraoperative Complications (etiology)
• Laparoscopes
• Length of Stay
• Postoperative Complications (etiology)
• Prospective Studies
• Surgical Staplers
• Suture Techniques (instrumentation)
• Treatment Outcome