Laparoscopic stapler appendectomy A prospective study of 267 consecutive cases

Abstract

Laparoscopy improves diagnostic accuracy for acute appendicitis and laparoscopic stapling appendectomy is a safe and efficient procedure for all forms of appendicitis.

Laparoscopic appendectomy using a single polymeric clip to close the appendicular stump

“…Therefore, the acceptance for laparoscopic appendectomy can be further increased with the degree of standardization. Most surgeons either use a stapler [11] or a loop [6,12] to close the appendicular stump. The use of a stapler is safe and fast but expensive, while the loop is less expensive but requires an advanced level of laparoscopic training.…”

The suprapubic approach for laparoscopic appendectomy

“…With the two alternative techniques (techniques 2 and 3), at least one trocarÐpreferably the 12-mm trocar for the stapler [26]Ðcan be inserted below the line of pubic hair. This improves on the cosmetic result achieved with the standard laparoscopic approach.…”

Laparoscopic Appendectomy Using Endoloops: A Prospective, Randomized Clinical Trial

“…After mobilisation of the appendix, the division of the base can be done using a stapler, simple coagulation, or endoloops [1,6]. The use of a stapler is safe and quick, but the costs are much higher than the use of a endoloop.…”