Year 2020, Volume 4 , Issue 8, Pages 618 - 622 2020-08-01

Laparoskopik apendektomide güdük kapatmak için kullanılan üç tekniğin karşılaştırılması
Comparison of three techniques for appendiceal stump closure during laparoscopy

Eyüp GEMİCİ [1] , Turgut DÖNMEZ [2] , Ahmet SÜREK [3] , Seymur ABDULLAYEV [4] , Hüsnü AYDIN [5] , Mehmet Abdussamet BOZKURT [6] , Mehmet KARABULUT [7]


Amaç: Laparoskopik apendektomi akut apandisit tedavisinde altın standarttır. Bununla birlikte, apendiks güdüğünü kapatırken uygulanacak teknik hakkında henüz bir fikir birliği yoktur. Bu çalışma, apendiks güdüğünü kapatmak için uygulanan teknikleri karşılaştırmaktadır: Laparoskopik sütur uygulama, metal klips uygulama ve Hem-o-lok klips uygulama. Amacımız bu üç yöntemin avantajlarını, güvenliğini ve maliyetlerini değerlendirmektir. Yöntemler: Mayıs 2017-Aralık 2019 tarihleri arasında akut apandisit nedeniyle laparoskopik apendektomi operasyonu geçiren 220 hastanın dahil edildiği retrospektif kohort çalışma planlandık. Olgular üç gruba ayrılarak değerlendirildi. A Grubunda apendiks güdüğü laparoskopik sütur yöntemi ile kapatılanlar yer aldı. B grubunda metal klips C grubunda ise Hem-o-lok klips uygulanarak apendiks güdüğü kapatılan olgular yer aldı. Hastaların demografik özellikleri, Amerikan Anesteziyoloji Derneği (ASA) skorları, ameliyat süresi, postoperatif komplikasyonlar, hastanede kalış süresi ve maliyeti değerlendirildi. Bulgular: Grup A'da 79 hasta, grup B'de 91 hasta ve grup C'de 50 hasta vardı. Demografik özellikler, ASA skorları, laboratuar değerleri açısından gruplar arasında fark yoktu. Ameliyat süresi ve ameliyat sonrası komplikasyon oranları gruplar arasında farklılık göstermedi (P>0,05). Grup C'de daha uzun hastanede kalış süresi vardı (P=0,001) ve grup A daha düşük maliyete sahipti (P=0,001). Sonuç: Laparoskopik apendektomide, apendiks güdüğünün sütur kullanılarak kapatılması tekniği güvenli ve etkilidir. Ayrıca bu tekniğin sarf malzeme kullanımını ve hastane tedavi maliyetlerini önemli ölçüde azalttığı görülmüştür.
Aim: Laparoscopic appendectomy is the gold standard treatment of acute appendicitis. However, there is no consensus about the technique to apply when closing the appendix stump. This study compares three techniques to close the appendix stump: Laparoscopic purse-string suture (LPS), metal clips, and Hem-o-lok clips. The aim is to evaluate the advantages, safety, and costs of these three methods. Methods: We conducted a retrospective cohort study which included 220 patients who underwent laparoscopic appendectomy operations for acute appendicitis between May 2017 and December 2019. The cases were divided into three groups and evaluated. Group A received LPS, group B received metal clips, and group C received Hem-o-lok clips. The demographic features of the patients, American Society of Anesthesiology (ASA) scores, duration of surgery, postoperative complications, hospital stay, and cost were evaluated retrospectively from patient files. Results: There were 79 patients in group A, 91 patients in group B, and 50 patients in group C. There was no difference between the groups with respect to demographic features, ASA physiological state scores, and laboratuary values. The operation time and postoperative complication rates did not differ between groups (P>0.05). Group C had longer hospital stays (P=0.001), and group A had lower costs (P=0.001). Conclusion: In the laparoscopic appendectomy technique, the use of LPS for appendix stump closure is safe and effective. Furthermore, technical consumables and hospital treatment costs are significantly reduced.
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Primary Language en
Subjects Emergency Medicine, Surgery, Gastroenterology and Hepatology
Journal Section Research article
Authors

Orcid: 0000-0001-6769-3305
Author: Eyüp GEMİCİ (Primary Author)
Institution: Health Science University, Bakirkoy Dr Sadi Konuk Education and Research Hospital, Department of General Surgery, Istanbul, Turkey
Country: Turkey


Orcid: 0000-0003-3095-2195
Author: Turgut DÖNMEZ
Institution: Health Science University, Bakirkoy Dr Sadi Konuk Education and Research Hospital, Department of General Surgery
Country: Turkey


Orcid: 0000-0002-5192-2481
Author: Ahmet SÜREK
Institution: Health Science University, Bakirkoy Dr Sadi Konuk Education and Research Hospital, Department of General Surgery
Country: Turkey


Orcid: 0000-0003-2102-0169
Author: Seymur ABDULLAYEV
Institution: Health Science University, Bakirkoy Dr Sadi Konuk Education and Research Hospital, Department of General Surgery
Country: Turkey


Orcid: 0000-0002-3364-3649
Author: Hüsnü AYDIN
Institution: Health Science University, Bakirkoy Dr Sadi Konuk Education and Research Hospital, Department of General Surgery
Country: Turkey


Orcid: 0000-0003-3222-9363
Author: Mehmet Abdussamet BOZKURT
Institution: Health Science University, Bakirkoy Dr Sadi Konuk Education and Research Hospital, Department of General Surgery
Country: Turkey


Orcid: 0000-0002-1889-5637
Author: Mehmet KARABULUT
Institution: Health Science University, Bakirkoy Dr Sadi Konuk Education and Research Hospital, Department of General Surgery
Country: Turkey


Dates

Publication Date : August 1, 2020

Bibtex @research article { josam781614, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {618 - 622}, doi = {10.28982/josam.781614}, title = {Comparison of three techniques for appendiceal stump closure during laparoscopy}, key = {cite}, author = {Gemi̇ci̇, Eyüp and Dönmez, Turgut and Sürek, Ahmet and Abdullayev, Seymur and Aydın, Hüsnü and Bozkurt, Mehmet Abdussamet and Karabulut, Mehmet} }
APA Gemi̇ci̇, E , Dönmez, T , Sürek, A , Abdullayev, S , Aydın, H , Bozkurt, M , Karabulut, M . (2020). Comparison of three techniques for appendiceal stump closure during laparoscopy . Journal of Surgery and Medicine , 4 (8) , 618-622 . DOI: 10.28982/josam.781614
MLA Gemi̇ci̇, E , Dönmez, T , Sürek, A , Abdullayev, S , Aydın, H , Bozkurt, M , Karabulut, M . "Comparison of three techniques for appendiceal stump closure during laparoscopy" . Journal of Surgery and Medicine 4 (2020 ): 618-622 <http://jsurgmed.com/en/pub/issue/56401/781614>
Chicago Gemi̇ci̇, E , Dönmez, T , Sürek, A , Abdullayev, S , Aydın, H , Bozkurt, M , Karabulut, M . "Comparison of three techniques for appendiceal stump closure during laparoscopy". Journal of Surgery and Medicine 4 (2020 ): 618-622
RIS TY - JOUR T1 - Comparison of three techniques for appendiceal stump closure during laparoscopy AU - Eyüp Gemi̇ci̇ , Turgut Dönmez , Ahmet Sürek , Seymur Abdullayev , Hüsnü Aydın , Mehmet Abdussamet Bozkurt , Mehmet Karabulut Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.781614 DO - 10.28982/josam.781614 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 618 EP - 622 VL - 4 IS - 8 SN - -2602-2079 M3 - doi: 10.28982/josam.781614 UR - https://doi.org/10.28982/josam.781614 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Comparison of three techniques for appendiceal stump closure during laparoscopy %A Eyüp Gemi̇ci̇ , Turgut Dönmez , Ahmet Sürek , Seymur Abdullayev , Hüsnü Aydın , Mehmet Abdussamet Bozkurt , Mehmet Karabulut %T Comparison of three techniques for appendiceal stump closure during laparoscopy %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 8 %R doi: 10.28982/josam.781614 %U 10.28982/josam.781614
ISNAD Gemi̇ci̇, Eyüp , Dönmez, Turgut , Sürek, Ahmet , Abdullayev, Seymur , Aydın, Hüsnü , Bozkurt, Mehmet Abdussamet , Karabulut, Mehmet . "Comparison of three techniques for appendiceal stump closure during laparoscopy". Journal of Surgery and Medicine 4 / 8 (August 2020): 618-622 . https://doi.org/10.28982/josam.781614
AMA Gemi̇ci̇ E , Dönmez T , Sürek A , Abdullayev S , Aydın H , Bozkurt M , Karabulut M . Comparison of three techniques for appendiceal stump closure during laparoscopy. J Surg Med. 2020; 4(8): 618-622.
Vancouver Gemi̇ci̇ E , Dönmez T , Sürek A , Abdullayev S , Aydın H , Bozkurt M , Karabulut M . Comparison of three techniques for appendiceal stump closure during laparoscopy. Journal of Surgery and Medicine. 2020; 4(8): 618-622.