Comparison of open appendectomy and laparoscopic appendectomy with laparoscopic intracorporeal knotting and glove endobag techniques: A prospective observational study
Mehmet Aziret1, Süleyman Çetinkünar2, Hasan Erdem2, Şahin Kahramanca3, Hilmi Bozkurt2, Onur Dülgeroğlu3, Ali Cihat Yıldırım3, Oktay İrkörücü2, Emre Birzad Gölboyu4
1Department of General Surgery, Sakarya Univesity School of Medicine, Sakarya, Turkey
2Department of General Surgery, Adana Numune Training and Research Hospital, Adana, Turkey
3Department of General Surgery, Kars State Hospital, Kars, Turkey
4Department of Anesthesiology and Reanimation, Kars State Hospital, Kars, Turkey
Keywords: Acute appendicitis, laparoscopic appendectomy, laparoscopic intracorporeal knotting, glove endobag
Objective: Despite the recent increase in the use of laparoscopic appendectomy procedures to treat acute appendicitis, laparoscopic appendectomy is not necessarily the best treatment modality. The aim of this study is to examine the value of laparoscopic intracorporeal knotting and glove endobag in terms of various parameters and in terms of reducing the costs related to laparoscopic appendectomy procedures.
Material and Methods: Seventy-two acute appendicitis patients who underwent laparoscopic appendectomy and open appendectomy surgery were enrolled in the study and were evaluated prospectively. The patients were divided into two groups: group 1 was treated with laparoscopic appendectomy using laparoscopic intracorpreal knotting and glove endobag (n=36) and group 2 was treated with open appendectomy (n=36). The two groups were statistically compared in terms of preoperative symptoms and signs, laboratory and imaging findings, operation time and technique, pain score, gas and stool outputs, duration of hospital stay, return to normal activity, and complications.
Results: No statistically significant differences were found between the groups in relation to gender, age, body mass index, or pre-operation findings, which included loss of appetite, vomiting, time when pain started, displacement of pain, defense, rebound, imaging methods, and laboratory and pathology examinations (p>0.05). Moreover, there were no differences between the groups with respect to drain usage, hospital stay time, or complications (p>0.05). In contrast, a statistically significant difference was found between the groups in terms of operation time, pain scores, gas-stool outputs, and return to normal activity in the laparoscopic appendectomy group (p=0.001).
Conclusion: Laparoscopic appendectomy can be performed in a facile, safe, and cost-effective manner with laparoscopic intracorporeal knotting and glove endobag. By using these techniques, the use of expensive instruments can be avoided when performing laparoscopic appendectomy.
Cite this paper as: Aziret M, Çetinkünar S, Erdem H, Kahramanca Ş, Bozkurt H, Dülgeroğlu O, et al. Comparison of open appendectomy and laparoscopic appendectomy with laparoscopic intracorporeal knotting and glove endobag techniques: A prospective observational study. Turk J Surg 2017; 33: 258-266.
This study was presented at the 12th National Congress of Endoscopic and Laparoscopic Surgery 22-26 April 2015, Antalya, Turkey.
Ethics committee approval was received for this study from the ethic committee of Health Science University Adana Training and Research Hospital.
Written informed consent was obtained from patients who participated in this study.
Concept - M.A., O.İ.; Design - S.Ç.; Supervision - H.E., H.B.; Materials - O.D.; Data Collection and/or Processing - Ş.K.; Analysis and/or Interpretation - M.A., A.C.Y.; Literature Search - A.C.Y.; Writing Manuscript - M.A.; Critical Reviews - O.İ.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.