Comparison of Hem-o-lok and Endoloop for Appendiceal Stump Closure in Laparoscopic Appendectomy: An Observational Retrospective Study.

IF 0.9 4区医学 Q3 SURGERY Annali italiani di chirurgia Pub Date : 2024-01-01

Cem Emir Guldogan, Guray Sarp, Esra Soyer Guldogan

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Abstract

Background: Laparoscopic appendectomy has gained prominence in the management of acute appendicitis, necessitating secure closure of the appendiceal stump. Two common techniques for this purpose are Hem-o-lok clips (HC) and endoloops (EL), each offering distinct advantages.

Aims: This retrospective study aimed to compare the outcomes of the HC and EL closure techniques. Specifically, the study focused on postoperative complications, hospital stays, and readmission rates.

Materials and methods: A retrospective database review was conducted from November 2022 to August 2023. The study compared outcomes, postoperative complications, and the length of hospital stay in 123 patients who underwent appendiceal stump closure with HC and EL at the General Surgery Department of the Turkish Hospital in Doha, Qatar.

Results: Among the 123 patients who underwent laparoscopic appendectomy, appendiceal stump closure was performed with HC in 50 patients and EL in 73 patients. Six patients experienced infectious complications associated with the procedure. The hospital stays were similar in both groups (Group HC: 1.3 ± 2 days, Group EL: 1.4 ± 2 days), and there were two readmissions in each group. Conclusion: The study supports the equivalence of HC and EL closure techniques. Both methods demonstrate comparable postoperative complications, hospital stays, and readmission rates. Surgeons can make informed decisions based on patient profiles and available resources.

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比较 Hem-o-lok 和 Endoloop 在腹腔镜阑尾切除术中用于阑尾残端缝合的效果：一项观察性回顾研究

背景：腹腔镜阑尾切除术在急性阑尾炎的治疗中日益突出，这就需要对阑尾残端进行安全闭合。为此，两种常用的技术是Hem-o-lok夹（HC）和endoloops（EL），这两种技术各有千秋。具体来说，研究重点是术后并发症、住院时间和再入院率：从 2022 年 11 月到 2023 年 8 月进行了一项回顾性数据库审查。该研究比较了卡塔尔多哈土耳其医院普外科采用 HC 和 EL 进行阑尾残端闭合术的 123 名患者的疗效、术后并发症和住院时间：结果：在接受腹腔镜阑尾切除术的 123 名患者中，有 50 名患者接受了 HC 阑尾残端闭合术，73 名患者接受了 EL 阑尾残端闭合术。6名患者出现了与手术相关的感染性并发症。两组患者的住院时间相似（HC 组：1.3 ± 2 天，EL 组：1.4 ± 2 天），每组均有两名患者再次入院。结论该研究支持 HC 和 EL 闭合技术的等效性。两种方法的术后并发症、住院时间和再入院率相当。外科医生可以根据患者情况和可用资源做出明智的决定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.