Laparoscopic Appendectomy: Results of a New Technique for Stump Management
Kriangsak Jenwitheesuk MD*, Ekkarin Chotikawanich MD*, O-tur Saeseow MD*, Chaiyut Thanapaisal MD*, Suriya Punchai MD*, Krisada Paonariang MD*
Affiliation : * Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Objective : The purpose of the present study was to review a new laparoscopic technique for treatment of appendicitis. An
earlier pilot study indicated the safety of the technique in addition to saved time and cost.
Material and Method: The electronic records were analyzed on appendix surgeries performed at our hospital between
January 1, 2007 and December 31, 2011.
Results : The 91 patients who had an appendiceal stump closure using clips (viz., the Hem-o-lock clipTM) had a significantly
shorter surgery and hospitalization than those whose appendiceal stump was closed using the standard loop strap (Endo-
loopTM).
Conclusion : The complications between groups were not significantly different and were treated in both groups using
conservative management.
Keywords : Laparoscopic appendectomy, Appendiceal stump management, Appendicitis, Appendectomy
