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Laparoscopic appendectomy,stump closure and endoloops:A meta-analysis

查看全文 作　　者：Noemi [1,2]Zorzetti;Augusto [2]Lauro;Maria Irene [2]Bellini;Samuele [2,3]Vaccari;Barbara Dalla [4]Via;Maurizio [5]Cervellera;Roberto [6]Cirocchi;Salvatore [2]Sorrenti;Vito D’[2]Andrea;Valeria [4]Tonini 高影响力作者 机构地区：[1]Department of General Surgery,Ospedale Civile A Costa,Porretta Terme 40046,Italy;[2]Department of Surgical Sciences,Sapienza University,Rome 00161,Italy;[3]Department of General Surgery,Ospedale di Bentivoglio,Bologna 40010,Italy;[4]Department of Emergency Surgery,St Orsola University Hospital,Bologna 40138,Italy;[5]Department of General Surgery,Ospedale Santissima Annunziata,Taranto 74121,Italy;[6]Department of General Surgery,Ospedale di Terni,Universitàdi Perugia,Terni 05100,Italy高影响力机构 出　　处：《World Journal of Gastrointestinal Surgery》索引2022年第14卷第9期,共12页高影响力期刊 摘　　要：BACKGROUND Acute appendicitis(AA)is one of the main indications for urgent surgery.Laparoscopic 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 closure.AIM To compare safety and cost-effectiveness of EL vs ES.METHODS 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 2021.RESULTS 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 LA.CONCLUSION Even when AA is complicated,the routine use of EL is safe in most patients. 关 键 词：Acute appendicitis Laparoscopic appendectomy Endoloops STAPLER Post-operative complications
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