BACKGROUND Acute appendicitis(AA)is one of the main indications for urgent surgery.Laparoscopic appendectomy(LA)has shown advantages in terms of clinical results and cost-effectiveness,even if there is still controver...BACKGROUND Acute appendicitis(AA)is one of the main indications for urgent surgery.Laparoscopic appendectomy(LA)has shown advantages in terms of clinical results and cost-effectiveness,even if there is still controversy about different devices to utilize,especially with regards to the endoloop(EL)vs endostapler(ES)when it comes to stump closure.AIM To compare safety and cost-effectiveness of EL vs ES.METHODS From a prospectively maintained database,data of 996 consecutive patients treated by LA with a 3 years-follow up in the department of Emergency General Surgery-St Orsola University Hospital,Bologna(Italy)were retrieved.A metaanalysis was performed in terms of surgical complications,in comparison to the international literature published from 1995 to 2021.RESULTS The meta-analysis showed no evidence regarding wound infections,abdominal abscesses,and total post-operative complications,in terms of superiority of a surgical technique for the stump closure in LA.CONCLUSION Even when AA is complicated,the routine use of EL is safe in most patients.展开更多
Recently,the continuous advancement of endoscopic technology has led to the widespread application of endoscopic full-thickness resection(EFTR)in clinical practice.The crucial aspect of EFTR is the successful closure ...Recently,the continuous advancement of endoscopic technology has led to the widespread application of endoscopic full-thickness resection(EFTR)in clinical practice.The crucial aspect of EFTR is the successful closure of the wound.Initially,endoscopic clip and nylon thread suturing was employed;subsequently,a variety of innovative suturing techniques based on that have been developed,driving ongoing technological innovation in this field.Given the unique characteristics of EFTR,an increasing number of specialized endoscopic suturing devices are being explored.This article aims to systematically evaluate the efficacy,limitations,and clinical applicability of current endoscopic closure techniques for EFTR-induced defects.展开更多
文摘BACKGROUND Acute appendicitis(AA)is one of the main indications for urgent surgery.Laparoscopic appendectomy(LA)has shown advantages in terms of clinical results and cost-effectiveness,even if there is still controversy about different devices to utilize,especially with regards to the endoloop(EL)vs endostapler(ES)when it comes to stump closure.AIM To compare safety and cost-effectiveness of EL vs ES.METHODS From a prospectively maintained database,data of 996 consecutive patients treated by LA with a 3 years-follow up in the department of Emergency General Surgery-St Orsola University Hospital,Bologna(Italy)were retrieved.A metaanalysis was performed in terms of surgical complications,in comparison to the international literature published from 1995 to 2021.RESULTS The meta-analysis showed no evidence regarding wound infections,abdominal abscesses,and total post-operative complications,in terms of superiority of a surgical technique for the stump closure in LA.CONCLUSION Even when AA is complicated,the routine use of EL is safe in most patients.
基金Supported by Shenyang Science and Technology,No.22-321-32-15.
文摘Recently,the continuous advancement of endoscopic technology has led to the widespread application of endoscopic full-thickness resection(EFTR)in clinical practice.The crucial aspect of EFTR is the successful closure of the wound.Initially,endoscopic clip and nylon thread suturing was employed;subsequently,a variety of innovative suturing techniques based on that have been developed,driving ongoing technological innovation in this field.Given the unique characteristics of EFTR,an increasing number of specialized endoscopic suturing devices are being explored.This article aims to systematically evaluate the efficacy,limitations,and clinical applicability of current endoscopic closure techniques for EFTR-induced defects.
