Comparison of Intra corporeal Knot-tying Suture and Hem-o-lok Clip for Closure of Appendix Stump in Laparoscopic Appendectomy: A Retrospective Study

摘要

Summary Objective: The optimal method for closure of the appendix stump in laparoscopic appendectomy is stil controversial. There have been many defined methods for this aim. Here were trospectively compare the closure of appendix stump with intra corporeal knot tying and hem-o-lok clip.Material and Method: Ninty-two case sunder went to laparoscopic appendectomy in Elazig Medical Park Hospital from January 2013 to June 2014 was retrospectively screened. Age, gender, hospital stay, operation time, whether complicated appendicitis complicated appendicitis, complications and management of complications were noted. Patients were divided into two groups, Group 1 (hem-o-lok clip) and Group 2 (intra corporeal knot tying). Datas were compared between two groups.Results: Ninty-twopatients (43 male /49 female) were screened. Mean age was 35.1 (15-77) years. Mean operation time was 28.8 minutes (20-50), mean hospital stay was 1.25 (0-5) days. Operation time was significantly shorter in group 1 (p<0.001), both in uncomplicated (p<0.001) and complicated (p=0.046) cases. Although hem-o-lok group had a low hospital stay and postoperative complication rate, the difference between two groups was not statistically significant.Conclusion: Hem-o-lok clip is a simple and a safe tool for closure of appendiceal stum with low operation time. Top