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. 2017 Dec 1;33(4):258-266.
doi: 10.5152/turkjsurg.2017.3583. eCollection 2017.

Comparison of open appendectomy and laparoscopic appendectomy with laparoscopic intracorporeal knotting and glove endobag techniques: A prospective observational study

Mehmet Aziret  1 , Süleyman Çetinkünar  2 , Hasan Erdem  2 , Şahin Kahramanca  3 , Hilmi Bozkurt  2 , Onur Dülgeroğlu  3 , Ali Cihat Yıldırım  3 , Oktay İrkörücü  2 , Emre Birzad Gölboyu  4
Affiliations

Comparison of open appendectomy and laparoscopic appendectomy with laparoscopic intracorporeal knotting and glove endobag techniques: A prospective observational study

Mehmet Aziret et al. Turk J Surg. .

Abstract

Objective: Despite the recent increase in the use of laparoscopic appendectomy procedures to treat acute appendicitis, laparoscopic appendectomy is not necessarily the best treatment modality. The aim of this study is to examine the value of laparoscopic intracorporeal knotting and glove endobag in terms of various parameters and in terms of reducing the costs related to laparoscopic appendectomy procedures.

Material and methods: Seventy-two acute appendicitis patients who underwent laparoscopic appendectomy and open appendectomy surgery were enrolled in the study and were evaluated prospectively. The patients were divided into two groups: group 1 was treated with laparoscopic appendectomy using laparoscopic intracorpreal knotting and glove endobag (n=36) and group 2 was treated with open appendectomy (n=36). The two groups were statistically compared in terms of preoperative symptoms and signs, laboratory and imaging findings, operation time and technique, pain score, gas and stool outputs, duration of hospital stay, return to normal activity, and complications.

Results: No statistically significant differences were found between the groups in relation to gender, age, body mass index, or pre-operation findings, which included loss of appetite, vomiting, time when pain started, displacement of pain, defense, rebound, imaging methods, and laboratory and pathology examinations (p>0.05). Moreover, there were no differences between the groups with respect to drain usage, hospital stay time, or complications (p>0.05). In contrast, a statistically significant difference was found between the groups in terms of operation time, pain scores, gas-stool outputs, and return to normal activity in the laparoscopic appendectomy group (p=0.001).

Conclusion: Laparoscopic appendectomy can be performed in a facile, safe, and cost-effective manner with laparoscopic intracorporeal knotting and glove endobag. By using these techniques, the use of expensive instruments can be avoided when performing laparoscopic appendectomy.

Keywords: Acute appendicitis; glove endobag; laparoscopic appendectomy; laparoscopic intracorporeal knotting.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1
Figure 1
Acute appendicitis with computed tomography
Figure 2. a, b
Figure 2. a, b
Intraoperative open appendectomy (a), Laparoscopic appendectomy trocar sites (b)
Figure 3
Figure 3
Preparation of the glove endobag
Figure 4
Figure 4
Laparoscopic intracorporeal knotting
See this image and copyright information in PMC

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