Laparoscopic appendectomy,stump closure and endoloops:A meta-analysis  

作　　者：Noemi Zorzetti Augusto Lauro Maria Irene Bellini Samuele Vaccari Barbara Dalla Via Maurizio Cervellera Roberto Cirocchi Salvatore Sorrenti Vito D’Andrea Valeria Tonini 

机构地区：[1]Department of General Surgery,Ospedale Civile A Costa,Porretta Terme 40046,Italy [2]Department of Surgical Sciences,Sapienza University,Rome 00161,Italy [3]Department of General Surgery,Ospedale di Bentivoglio,Bologna 40010,Italy [4]Department of Emergency Surgery,St Orsola University Hospital,Bologna 40138,Italy [5]Department of General Surgery,Ospedale Santissima Annunziata,Taranto 74121,Italy [6]Department of General Surgery,Ospedale di Terni,Universitàdi Perugia,Terni 05100,Italy

出　　处：《World Journal of Gastrointestinal Surgery》2022年第9期1060-1071,共12页世界胃肠外科杂志（英文版）（电子版）

摘　　要：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)vs endostapler(ES)when it comes to stump closure.AIM To compare safety and cost-effectiveness of EL vs ES.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 metaanalysis was performed in terms of surgical complications,in comparison to the international literature published from 1995 to 2021.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 Even when AA is complicated,the routine use of EL is safe in most patients.

关 键 词：Acute appendicitis Laparoscopic appendectomy Endoloops STAPLER Post-operative complications 

分 类 号：R656.8[医药卫生—外科学]