Use of Endo-GIA Versus Endo-loop for Securing the Appendicular Stump in Laparoscopic Appendicectomy
- 1 February 2009
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
- Vol. 19 (1), 11-15
- https://doi.org/10.1097/sle.0b013e31818a66ab
Abstract
To systematically analyze the trials on laparoscopic appendicectomy (LA) that has evaluated the effectiveness of endo-loop and/or endo-GIA (a linear stapling device) to secure the stump of the appendix. Clinical trials on LA were selected from the electronic database and analyzed to generate summative data. Five randomized trials on 622 patients were analyzed. In both fixed and random effect models, operative time for endo-loop group was longer than endo-GIA group. There was no difference in total hospital stay and in the incidence of intra-abdominal abscess formation between 2 groups. In the fixed effect model, endo-loop technique was associated with higher complication rate. Use of endo-loop to secure the appendicular stump during LA though takes longer than the use of endo-GIA but it is associated with equal hospital stay, perioperative complication rate, and incidence of intra-abdominal abscess. Endo-loop may be used safely and preferably to secure the appendicular stump.Keywords
This publication has 17 references indexed in Scilit:
- Open versus laparoscopic appendicectomySurgical Endoscopy, 2006
- Laparoscopic Versus Open Appendectomy in ChildrenAnnals of Surgery, 2006
- Laparoscopic Versus Standard Appendectomy Outcomes and Cost Comparisons in the Private SectorJournal of Gastrointestinal Surgery, 2005
- Laparoscopic Appendectomy Using Endoloops: A Prospective, Randomized Clinical TrialSurgical Endoscopy, 2004
- Abscess after appendicectomy in children: the role of conservative managementBritish Journal of Surgery, 1998
- Comparison of Adhesion Formation in Open and Laparoscopic SurgeryDigestive Surgery, 1998
- Laparoscopic or open appendectomy?Diseases of the Colon & Rectum, 1998
- Systematic review of randomized controlled trials comparing laparoscopic with open appendicectomyBritish Journal of Surgery, 1997
- Laparoscopic‐Guided Appendicectomy A Study of 100 Consecutive CasesAustralian and New Zealand Journal of Obstetrics and Gynaecology, 1990
- Endoscopic AppendectomyEndoscopy, 1983