Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Laparoscopic appendectomy is a common surgical procedure, with various techniques for appendicular stump ligation. This study compares the efficacy, operative time, cost and postoperative outcomes of three different stump ligation techniques conventional suturing, endoloop and GIA stapler. A total of 50 patients diagnosed with acute appendicitis at a tertiary care center were included in this prospective study. They underwent laparoscopic appendectomy using one of the three techniques. Data on operative time, cost and postoperative outcomes were collected and analyzed. The average operative time was shortest for the stapler group (88.3±13.3 min), followed by the endoloop (92.5±12.9 min) and conventional suturing groups (98.6±11.8 min) with a p‐value of 0.119. The cost analysis showed the highest expenditure for the stapler group (6000 currency units) compared to the endoloop (1500 currency units) and conventional suturing groups (620±73 currency units), p<0.0001. Postoperative outcomes, including hospital stay and pain (VAS scores), did not significantly differ among the groups. While the stapler technique is less time‐consuming, it is also more costly. Conventional suturing, despite requiring more time, is a cost‐effective alternative for laparoscopic appendicular stump ligation. The choice of technique may be guided by the available resources and surgeon’s preference.
How to cite this article:
Siddharth Bhaudas Lonare, Abhijeet Shamaji Velip and Dayanandsagar Harishchandra Dasre. Comparative Study of Methods of Laparoscopic Appendicular Stump Ligation.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.226.230
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.226.230