Skip to main content
SpringerLink
Log in

Laparoscopic Appendectomy Using Endoloops: A Prospective, Randomized Clinical Trial

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background

Inadequate closure of the appendix stump can lead to abscess formation or peritonitis. This prospective randomized clinical trial was performed to evaluate the number of endoloops needed in laparoscopic appendectomy.

Methods

A total of 208 patients were randomized in two groups: 109 in group 1 using one and 99 in group 2 using two proximal endoloops. The groups were compared in terms of intra- and postoperative complications.

Results

Postoperative complications were found in five patients (4.6%) in group 1, consisting of intraabdominal abscesses (three patients), pulmonary embolism (one patient), and persisting port-site pain (one patient). In group 2, postoperative complications were found in five patients (5.1%), consisting of intraabdominal abscesses (four patients) and prolonged percutaneous drainage (one patient). There was no significant difference between the two groups.

Discussion

In acute appendicitis, a minimal inflamed appendix base can be safely divided using one endoloop.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. BG Cristalli V Izard D Jacob M Levardon (1991) ArticleTitleLaparoscopic appendectomy using a clip applier. Surg Endosc 5 176–178 Occurrence Handle1:STN:280:By2B3Mzls1E%3D Occurrence Handle1839575

    CAS  PubMed  Google Scholar 

  2. L Engstrom G Fenyo (1985) ArticleTitleAppendicectomy: assessment of stump invagination versus simple ligation: a prospective, randomized trial. Br J Surg 72 971–972 Occurrence Handle1:STN:280:BimC3cvptFE%3D Occurrence Handle3910160

    CAS  PubMed  Google Scholar 

  3. GR Kazemier G Zeeuw Particlede JF Lange WC Hop HJ Bonjer (1997) ArticleTitleLaparoscopic vs open appendectomy. A randomized clinical trial. Surg Endosc 11 336–340 Occurrence Handle10.1007/s004649900358 Occurrence Handle9094272

    Article  PubMed  Google Scholar 

  4. AG Pedersen OB Petersen P Wara H Ronning N Qvist S Laurberg (2001) ArticleTitleRandomized clinical trial of laparoscopic versus open appendicectomy. Br J Surg 88 200–205 Occurrence Handle11167866

    PubMed  Google Scholar 

  5. K Semm (1983) ArticleTitleEndoscopic appendectomy. Endoscopy 15 59–64 Occurrence Handle1:STN:280:BiyB3cbks1Y%3D Occurrence Handle6221925

    CAS  PubMed  Google Scholar 

  6. M Wagner D Aronsky J Tschudi A Metzger C Klaiber (1996) ArticleTitleLaparoscopic stapler appendectomy. A prospective study of 267 consecutive cases. Surg Endosc 10 895–899 Occurrence Handle10.1007/s004649900192 Occurrence Handle1:STN:280:ByiC2cjptVc%3D Occurrence Handle8703146

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Kantonsspital Aarau, CH-5001, Aarau, Switzerland

    G. Beldi, K. Muggli, C. Helbling & R. Schlumpf

Authors
  1. G. Beldi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Muggli
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Helbling
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. R. Schlumpf
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. Schlumpf.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Beldi, G., Muggli, K., Helbling, C. et al. Laparoscopic Appendectomy Using Endoloops: A Prospective, Randomized Clinical Trial. Surg Endosc 18, 749–750 (2004). https://doi.org/10.1007/s00464-003-9156-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-003-9156-z

Keywords

Search

Navigation