Özet:

Laparoscopic appendectomy is increasingly accepted as the operation of choice in patients with suspected or confirmed acute appendicitis. The aim of the current study was to evaluate the effectiveness of appendiceal stump closure using stapler. Methods: 24 patients with acute appendicitis who underwent laparoscopic appendectomy between April 2016 - June 2016 were included in the study. It was a retrospective review. Informed consent of each subject and approval of the Local Ethics Committee was obtained. The patients who had signed the informed consent form were included in the study. Patients with immuno suppression, diabetes mellitus, using steroid medications, under the age of 18, over 65 were excluded. Additionally, cases diagnosed as plastrone appendicitis, who had history of abdominal surgery and negative appendectomy proven macroscopically and histopathologically were excluded.Medical records were screened retrospectively, in terms of hospitalization time, duration of operation, return to work, rate of return, stump leak, wound infection rate and cost. Results: Laparoscopic appendectomy was performed in 24 patients that is 16 males and 8 females.(mean age of 33.1 years; range of 16 to 65 years). Mean hospital stay was 2.8 days (range 2-6 days). Only one patient had post-operative wound infections (4% ). The conversion rate was 0%. No appendiceal stump leaks or intra-abdominal abscess occurred. Mean operative time was 13 (7-21) minutes. In addition, time to the onset of oral feeding and normal daily activity were recorded and were 16 (12-26) hours, 3.8 (3-9) days respectively. Use of stapler for closure of the appendicular stump increased the current cost of $320 (total $940).

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