Laparoscopic appendectomy, stump closure and endoloops: A meta-analysis.
Acute appendicitis
Endoloops
Laparoscopic appendectomy
Post-operative complications
Stapler
Journal
World journal of gastrointestinal surgery
ISSN: 1948-9366
Titre abrégé: World J Gastrointest Surg
Pays: United States
ID NLM: 101532473
Informations de publication
Date de publication:
27 Sep 2022
27 Sep 2022
Historique:
received:
21
04
2022
revised:
22
07
2022
accepted:
19
08
2022
entrez:
3
10
2022
pubmed:
4
10
2022
medline:
4
10
2022
Statut:
ppublish
Résumé
Acute appendicitis (AA) is one of the main indications for urgent surgery. Laparoscopic appendectomy (LA) has shown advantages in terms of clinical results and cost-effectiveness, even if there is still controversy about different devices to utilize, especially with regards to the endoloop (EL) To compare safety and cost-effectiveness of EL From a prospectively maintained database, data of 996 consecutive patients treated by LA with a 3 years-follow up in the department of Emergency General Surgery - St Orsola University Hospital, Bologna (Italy) were retrieved. A meta-analysis was performed in terms of surgical complications, in comparison to the international literature published from 1995 to 2021. The meta-analysis showed no evidence regarding wound infections, abdominal abscesses, and total post-operative complications, in terms of superiority of a surgical technique for the stump closure in LA. Even when AA is complicated, the routine use of EL is safe in most patients.
Sections du résumé
BACKGROUND
BACKGROUND
Acute appendicitis (AA) is one of the main indications for urgent surgery. Laparoscopic appendectomy (LA) has shown advantages in terms of clinical results and cost-effectiveness, even if there is still controversy about different devices to utilize, especially with regards to the endoloop (EL)
AIM
OBJECTIVE
To compare safety and cost-effectiveness of EL
METHODS
METHODS
From a prospectively maintained database, data of 996 consecutive patients treated by LA with a 3 years-follow up in the department of Emergency General Surgery - St Orsola University Hospital, Bologna (Italy) were retrieved. A meta-analysis was performed in terms of surgical complications, in comparison to the international literature published from 1995 to 2021.
RESULTS
RESULTS
The meta-analysis showed no evidence regarding wound infections, abdominal abscesses, and total post-operative complications, in terms of superiority of a surgical technique for the stump closure in LA.
CONCLUSION
CONCLUSIONS
Even when AA is complicated, the routine use of EL is safe in most patients.
Identifiants
pubmed: 36185568
doi: 10.4240/wjgs.v14.i9.1060
pmc: PMC9521468
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1060-1071Informations de copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Références
BMC Surg. 2017 Jul 11;17(1):80
pubmed: 28693476
Heliyon. 2018 May 24;4(5):e00635
pubmed: 29872767
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
Surg Endosc. 2014 Feb;28(2):576-83
pubmed: 24048816
Int J Surg. 2017 Apr;40:169-175
pubmed: 28285058
Surgery. 2017 Nov;162(5):994-1005
pubmed: 28864100
Surg Endosc. 2006 Sep;20(9):1473-6
pubmed: 16823654
Radiology. 2000 May;215(2):337-48
pubmed: 10796905
Ann Surg. 2004 Aug;240(2):205-13
pubmed: 15273542
Updates Surg. 2020 Dec;72(4):1167-1174
pubmed: 32474801
Am J Surg. 1995 Feb;169(2):208-12; discussion 212-3
pubmed: 7840381
Ann Emerg Med. 1986 May;15(5):557-64
pubmed: 3963537
Ulus Cerrahi Derg. 2015 Aug 18;31(4):229-31
pubmed: 26668532
J Res Med Sci. 2016 Oct 18;21:87
pubmed: 28163733
Int J Surg. 2017 Dec;48:232-239
pubmed: 29155250
Langenbecks Arch Surg. 2010 Nov;395(8):1077-82
pubmed: 20577759
Langenbecks Arch Surg. 2021 Aug;406(5):1581-1589
pubmed: 33409584
Best Pract Res Clin Gastroenterol. 2014 Feb;28(1):211-24
pubmed: 24485267
JSLS. 2018 Oct-Dec;22(4):
pubmed: 30607104
Surg Endosc. 2004 May;18(5):749-50
pubmed: 15026904
Surg Endosc. 2014 Aug;28(8):2302-8
pubmed: 24609709
BMC Surg. 2021 May 31;21(1):272
pubmed: 34059039
World J Surg. 2015 Jan;39(1):104-9
pubmed: 25245432
Am J Surg. 2021 Aug;222(2):413-416
pubmed: 33419519
Surg Today. 2014 Sep;44(9):1716-22
pubmed: 24337502
Eur J Trauma Emerg Surg. 2020 Aug;46(4):847-851
pubmed: 30710176
J Am Coll Surg. 2014 Mar;218(3):e51-65
pubmed: 24559968
J Trauma Acute Care Surg. 2013 Jan;74(1):32-6
pubmed: 23271074
Chirurg. 2014 Jan;85(1):46-50
pubmed: 23780410
Int J Surg. 2014;12 Suppl 2:S164-S169
pubmed: 25157994
Am Surg. 2018 Aug 1;84(8):1329-1332
pubmed: 30185311
Ulus Travma Acil Cerrahi Derg. 2015 Dec;21(6):446-9
pubmed: 27054634
Surg Endosc. 2018 May;32(5):2295-2299
pubmed: 29098432
Cir Cir. 2018;86(5):428-431
pubmed: 30226495
Surg Endosc. 2011 Apr;25(4):1187-91
pubmed: 20835717
World J Emerg Surg. 2013 Nov 01;8(1):45
pubmed: 24180475
Updates Surg. 2021 Feb;73(1):187-195
pubmed: 33398773
Int J Surg. 2015 Sep;21:103-7
pubmed: 26231996
Surg Endosc. 2011 Jan;25(1):124-9
pubmed: 20552371
Br J Surg. 2006 Nov;93(11):1390-3
pubmed: 16862615
Acta Chir Belg. 2020 Apr;120(2):116-123
pubmed: 30747049
Updates Surg. 2017 Mar;69(1):61-65
pubmed: 28013455
Zentralbl Chir. 1998;123 Suppl 4:90-3
pubmed: 9880884
Turk J Gastroenterol. 2014 Dec;25(6):624-7
pubmed: 25599771
Ann Surg. 2009 Aug;250(2):187-96
pubmed: 19638912
J Laparoendosc Adv Surg Tech A. 2012 Jan-Feb;22(1):85-7
pubmed: 22145605
Int J Surg. 2019 Aug;68:40-47
pubmed: 31226406
Ann Med Surg (Lond). 2020 Aug 04;57:228-235
pubmed: 32802324
J Gastrointest Surg. 2011 Dec;15(12):2226-31
pubmed: 21725700
Surg Endosc. 2018 Aug;32(8):3450-3466
pubmed: 29623470
Turk J Surg. 2017 Dec 01;33(4):258-266
pubmed: 29260130
Br J Radiol. 2011 Dec;84(1008):1115-20
pubmed: 21123307
Surg Laparosc Endosc Percutan Tech. 2009 Feb;19(1):11-5
pubmed: 19238059
Am J Surg. 2017 Dec;214(6):1149-1150
pubmed: 29054445
Surg Technol Int. 2016 Apr;28:117-20
pubmed: 27121413
Surg Endosc. 2017 Jan;31(1):178-184
pubmed: 27129569