[Technique and significance of stump management for outcome of laparoscopic appendectomy].
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.
Klima
S
S
Chirurgische Klinik, Klinikum Bernburg.
Schyra
B
B
D001062:Appendectomy / Q000295:instrumentation*; D001064:Appendicitis / Q000601:surgery*; D004564:Electrocoagulation / Q000295:instrumentation; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D020706:Laparoscopes; D007902:Length of Stay; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D013528:Surgical Staplers; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome
Technik und Bedeutung der Stumpfversorgung für das Ergebnis der laparoskopischen Appendektomie.