title: Comparison of outcomes of laparoscopic intracorporeal knotting technique in patients with complicated and noncomplicated acute appendicitis.
abstract: OBJECTIVE
  In our study we aimed to compare laparoscopic intracorporeal knotting technique (base of the appendix was ligated with 20 cm of 2.0 silk) in patients with complicated acute appendicitis (CAA) and noncomplicated acute appendicitis.
  
  
  METHODS
  Ninety patients (female/male: 40/50, age ranging from 16 to 60 years, median age and interquartile range [IQR]: 25 [20; 32] years) who underwent laparoscopic appendectomy were included in the study. The patients were evaluated for the type of acute appendicitis, duration of operation, duration of hospital stay, and postoperative complications.
  
  
  RESULTS
  The number of cases diagnosed as CAA was 28 (31.1%), and the number of noncomplicated cases was 62 (68.9%). We found that there was no significant difference in postoperative complication rates between complicated and noncomplicated appendicitis cases. Incision site infection was seen in seven cases (7.8%) and ileus was seen in two cases (2.2%). Bleeding, intra-abdominal abscess, and appendix stump leakage were not observed in any of the cases. Median and IQR duration of operation were 42 (35; 52) minutes and median and IQR duration of hospital stay were detected as 2 (1; 2) (range 1-10) days.
  
  
  CONCLUSIONS
  Laparoscopic intracorporeal knotting technique may be a safe, effective, and reliable technique as the materials needed for closing the appendix stumps are easily available for both CAA cases and noncomplicated cases.
authors: Department of General Surgery, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
authors: Nurettin
authors: N
authors: Ay
authors: Department of General Surgery, Ataturk State Hospital, Antalya, Turkey.
authors: Bulent
authors: B
authors: Dinç
authors: Department of General Surgery, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
authors: Vahhac
authors: V
authors: Alp
authors: Department of Infectious Disease, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
authors: Şafak
authors: Ş
authors: Kaya
authors: Department of Cardiovascular Surgery, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
authors: Utkan
authors: U
authors: Sevük
keywords: complicated acute appendicitis; laparoscopic appendectomy; laparoscopic intracorporeal knotting technique