Abstract
There are several techniques described to close the appendicular stump during laparoscopic appendectomy. The aim of this study was to investigate the safety and usefulness of the Hem-o-lok clip for the closure of appendicular stump, comparing these data with those concerning the endo-loop. We conducted a retrospective study that compared two groups of patients who underwent laparoscopic appendectomy from 2010 to 2015 at our institution. We used the Endoloop to close the stump in the first group (group I) and the Hem-o-lok in the second group (group II). We reviewed patient’s data including: complications, operative time, length of stay, costs. There were 121 patients in group I and 138 patients in group II. The mean operative times were 40.5 min in group I and 36.4 min in the group II. No intraoperative complications and no mortality were observed in either group. The mean postoperative length of hospital stay was similar for both groups. There was no rehospitalization after discharge. The complication rate did not reach statistical significance between the groups. The cost of the procedure using the Hem-o-lok has been lower than using the Endoloop. Both the Endoloop and Hem-o-lok are safe for the closure of the appendicular stump. Hem-o-lok appears to be superior than Endoloop in terms of easeness of use and cheapness, maintaining the same safety.
Similar content being viewed by others
References
Semm K (1983) Endoscopic appendectomy. Endoscopy 15:59–64
Mayir B, Bilecik T, Ensari CO, Oruc MT (2014) Laparoscopic appendectomy with hand-made loop. Videosurg Other Miniinvasive Tech 9(2):152–156. doi:10.5114/wiitm.2014.41624
Guller U, Hervey S, Purves H et al (2004) Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Ann Surg 239:43–52
Mayir B, Ensari CÖ, Bilecik T, Aslaner A, Oruç MT (2015) Methods for closure of appendix stump during laparoscopic appendectomy procedure. Turk J Surg Ulusal Cerrahi Derg 31(4):229–231. doi:10.5152/UCD.2015.2768
Partecke LI, Kessler W, Patrzyk M et al (2011) Comparison among different closure methods of the appendicular stump in laparoscopic appendectomy. Surg Technol Int 21:85–91
Miyano G, Urao M, Lane GJ et al (2011) A prospective analysis of endoloops and endostaples for closing the stump of the appendix in children. J Laparoendosc Adv Surg Tech A 21:177–179
Delibegovic S, Matovic E (2009) Hem-o-lok plastic clips in securing of the base of the appendix during laparoscopic appendectomy. Surg Endosc 23:2851–2854
Colak E, Kement M, Ozlem N et al (2013) A comparison of nonabsorbable polymeric clips and endoloop li- gatures for the closure of the appendicular stump in laparoscopic appendectomy: a prospective, randomized study. Surg Laparosc Endosc Percutan Tech 23:255–258
Sauerland S, Jaschinski T, Neugebauer EA (2010) Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev 6(10):CD001546
Ortega AE, Hunter JG, Peters JH et al (1995) A prospective, randomized comparison of laparoscopic appendectomy with open appendectomy. Laparoscopic Appendectomy Study Group. Am J Surg 169:208–212
Wei B, Qi CL, Chen TF, Zheng ZH et al (2011) Laparoscopic versus open appendectomy for acute appendicitis: a metaanalysis. Surg Endosc 25:1199–1208
Loh A, Taylor RS (1992) Laparoscopic appendectomy. Br J Surg 27:289–290
Schreiber JH (1987) Early experience with laparoscopic appendectomy in women. Surg Endosc 1:211–216
Schick KS, Huttl TP, Fertmann JM et al (2008) A critical analysis of laparoscopic appendectomy: how experience with 1,400 appendectomies allowed innovative treatment to become standard in a university hospital. World J Surg 32:1406–1413
Matyja M, Strzałka M (2016) Rembiasz K laparosocopic appendectomy, cost-effectiveness of three different techniques used to close the appendix stump. Polish J Surg 87(12):634–637. doi:10.1515/pjs-2016-0015
Vettoretto N, Montori G, Bartoli M, Giovanetti M (2012) Lesson learned from 10 years’ experience in laparoscopic appendectomy in a community hospital. Updates Surg 64:285–288
Agresta F, Arezzo A, Allaix ME, Adolfo S, Anania G (2016) Current status of laparoscopic colorectal surgery in the emergency setting. Updates Surg 68:47–52
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Research involving human participants and/or animals
This article does not contain any studies with animals performed by any of the authors.
Informed consent
Informed consent was obtained from all individual participants included in the study and additional informed consent was obtained from all individual participants for whom identifying information is included in this article.
Rights and permissions
About this article
Cite this article
Lucchi, A., Berti, P., Grassia, M. et al. Laparoscopic appendectomy: Hem-o-lok versus Endoloop in stump closure. Updates Surg 69, 61–65 (2017). https://doi.org/10.1007/s13304-016-0413-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13304-016-0413-9