Comparison of Laparoscopic Embedding Technique and Other Techniques for Appendiceal Stump Closure

Abstract

Aim:Acute appendicitis is the most common surgical emergency worldwide. Laparoscopic appendectomyis widely used in acute appendicitis. In our study, we aimed to investigate the efficacy and safety of laparoscopic embedding technique.Method:Patients who underwent laparoscopic embedding technique for appendiceal stump between July 2017 and December 2018 were included in the study. Acute appendicitis was diagnosed by physical examination, laboratory tests, ultrasound and computed tomography scan. Dissection of the mesoappendix was performed with a bipolar tissue sealing system, and then the appendix radix was ligated using intracorporeal knotting technique and inverted into the cecum with a suture. The patients were evaluated in terms of age, gender, body mass index (BMI), rate of conversion, operative time, postoperative complications and length of hospital stay.Results:The mean age was 34.81±1.88 years and the mean BMI was 27.51±5.44 kg/m2. The mean operative time was 61.93±17.67 minutes. Thirtytwo patients had complicated appendicitis and 39 patients had uncomplicated appendicitis. In patients with uncomplicated appendicitis, four patients developed surgical site infection and two patients had ileus; whereas two patients developed ileus and three patients developed surgical site infection in complicated appendicitis cases. The mean length of hospital stay was 38.92±25.90 hours.Conclusion:Laparoscopic embedding technique is easy, simple, safe, fast and effective for acute appendicitis and will become the method of choice in securing the base of the appendix in complicated appendicitis.

Keywords

• Laparoscopic appendectomy
• acute appendicitis
• appendiceal stump