Test- Management of the base of the appendix in pediatric laparoscopic appendectomy: clip, ligate, or staple?

Document Type

Article

Publication Date

9-2013

Journal Title

Surgical technology international

MeSH Headings

Appendectomy, Appendicitis, Cost-Benefit Analysis, Evidence-Based Medicine, Health Care Costs, Humans, Laparoscopy, Ligation, Prevalence, Risk Factors, Sutures, Treatment Outcome, Wound Closure Techniques

Abstract

Options for intracorporeal appendiceal stump closure span a variety of techniques including ligation using intra-corporeal knots, extra-corporeal knots, or an endo-loop (EL), closure with endoscopic clips (EC), or endoscopic stapled (ES) closure. The guiding principles are the need for secure, inert closure of the appendiceal base without injury to the appendiceal stump or cecum, with minimal risks of complication attributable to the closure technique. Safety and complication rates, as well as cost data, should guide the techniques used for pediatric laparoscopic appendectomy. Based on the literature available there is not a clear answer as to the best method for closing the appendiceal stump in pediatric patients, with each of the methods described providing safe closure. Many institutions and surgeons may favor a selective approach, with choice of closure determined by the condition of the appendix at laparoscopy.

ISSN

1090-3941

Comments

https://pubmed.ncbi.nlm.nih.gov/23975448/

First Page

81

Last Page

83

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