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 

作者机构：Department of General SurgeryOspedale Civile A CostaPorretta Terme 40046Italy Department of Surgical SciencesSapienza UniversityRome 00161Italy Department of General SurgeryOspedale di BentivoglioBologna 40010Italy Department of Emergency SurgerySt Orsola University HospitalBologna 40138Italy Department of General SurgeryOspedale Santissima AnnunziataTaranto 74121Italy Department of General SurgeryOspedale di TerniUniversitàdi PerugiaTerni 05100Italy 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2022年第14卷第9期

页      面：1060-1071页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Acute appendicitis Laparoscopic appendectomy Endoloops Stapler Post-operative complications 

摘      要：BACKGROUND Acute appendicitis(AA)is one of the main indications for urgent *** 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 *** To compare safety and cost-effectiveness of EL vs *** 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 *** 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 *** Even when AA is complicated,the routine use of EL is safe in most patients.