A prospective analysis of endoloops and endostaples for closing the stump of the appendix in XXXX .

@entity1 @entity698 @entity6177 @entity532 @entity2737 @entity1851
AIM: The aim of this study was to compare endoloops and endostaples for closing the stump of the appendix during laparoscopic appendectomy (LA) for @entity698 in @entity1 . METHODS: All LA performed for @entity698 from 2005 to 2009 were analyzed prospectively. Cases of @entity532 such as @entity698 or @entity6177 were excluded, leaving 75 cases closed with loops and 81 cases closed with staples. Choice of technique was determined by the attending surgeon's preference. All @entity1 were managed according to the same pre-, intra-, and postoperative protocols. RESULTS: There were no significant differences between mean age at surgery, gender ratio, preoperative mean white blood cell count and mean @entity1851 , histopathologic findings, mean duration of surgery, and mean hospitalization. There were no intra-operative complications in either group, but one loop case required conversion to open surgery (P   =   NS). There were no significant differences in the incidences of @entity6177 , transient @entity2737 . The postoperative readmission rate for management of complications was 4.0% for loop cases and 2.5% for staple cases (P   =   NS). Overall, using staples for a standard LA (anesthesia and stump closure) was U.S.  405 more expensive than when loops were used. CONCLUSION: This is the first prospective study comparing endoloops with endostaples for closing the stump of the appendix during LA for @entity698 in @entity1 . Although stapling proved to be more expensive, the choice of technique should reflect the surgeon's experience and confidence to ensure that the @entity1 has the safest possible LA.
