title: Methods for closure of appendix stump during laparoscopic appendectomy procedure.
abstract: The most frequent abdominal pathology requiring emergent surgery is acute appendicitis. Laparoscopic appendectomy has been performed for the treatment of acute appendicitis since 1983. Closure of the appendix stump is vital to prevent severe postoperative complications. Different methods are described for closure such as stapler, endoloop, titanium clips, non-absorbable polymer clips (hem-o-lok clip), handmade loops, transsection by Ligasure or with bipolar cautery. The ideal method should be safe, applicable and cheap. The most appropriate method remains to be controversial. All methods are reported as safe, but some have higher costs, and some prolong the operation. In this article, we reviewed clinical and experimental studies on different methods of stump closure, and we tried to compare the benefit of these methods over others.
authors.affiliation: Clinic of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Burhan
authors.initials: B
authors.lastname: Mayir
authors.affiliation: Clinic of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Cemal Özben
authors.initials: CÖ
authors.lastname: Ensari
authors.affiliation: Clinic of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Tuna
authors.initials: T
authors.lastname: Bilecik
authors.affiliation: Clinic of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Arif
authors.initials: A
authors.lastname: Aslaner
authors.affiliation: Clinic of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Mehmet Tahir
authors.initials: MT
authors.lastname: Oruç
keywords: Laparoscopic appendectomy; acute appendicitis; endoloop; endostapler; hand-made loop