Annals of Coloproctology

Original Article

Benign GI diease,Benign diesease & IBD,Surgical technique

Clinical outcomes of locking polymeric clip for laparoscopic appendectomy in patients with appendicitis: a retrospective comparison with loop ligature: Seokwon Kim, Byong Ho Jeon, Sang Sik Cho, Ui Sup Shin, Sun Mi Moon; Ann Coloproctol. 2022;38(2):160-165. Published online January 18, 2022; DOI: https://doi.org/10.3393/ac.2021.00598.0085

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Purpose
This study aimed to compare the clinical outcomes of laparoscopic appendectomy (LA) according to the method of appendiceal stump closure.
Methods
Patients who underwent LA for appendicitis between 2010 and 2020 were retrospectively reviewed. Patients were classified into locking polymeric clip (LPC) and loop ligature (LL) groups. Clinical outcomes were compared between the groups.
Results
LPC and LL were used in 188 (56.6%) and 144 patients (43.4%), respectively for appendiceal stump closure. No significant differences were observed in sex, age, comorbidities, and the severity of appendicitis between the groups. The median operative time was shorter in the LPC group than in the LL group (64.5 minutes vs. 71.5 minutes, P=0.027). The median hospital stay was longer in the LL group than in the LPC group (4 days vs. 3 days, P=0.020). Postoperative incidences of intraabdominal abscess and ileus were higher in the LL group than in the LPC group (4.2% vs. 1.1%, P=0.082 and 2.8% vs. 0%, P=0.035; respectively). The readmission rate was higher in the LL group than that in the LPC group (6.3% vs. 1.1%, P=0.012).
Conclusion
Using LPC for appendiceal stump closure during LA for appendicitis was associated with lower postoperative complication rate, shorter operative time, and shorter hospital stay compared to the use of LL. Operative time above 60 minutes and the use of LL were identified as independent risk factors for postoperative complications in LA. Therefore, LPC could be considered a more favorable closure method than LL during LA for appendicitis.

Citations

Citations to this article as recorded by

Fistula formation between urinary bladder and abdominal wall caused by bladder injury from surgical clips following laparoscopic appendectomy
Wei Zhou, Yong Suo, Tian-Yan Luo, Long-Gang Wang
Asian Journal of Surgery.2025; 48(6): 3926. CrossRef
Comparison of polymeric clip and endoloop in laparoscopic appendectomy: A systematic review and meta-analysis
Aashish Kumar, Muhammad Saqlain Mustafa, Muhammad Ashir Shafique, Abdul Haseeb, Hussain Sohail Rangwala, Haimath Kumar, Burhanuddin Sohail Rangwala, Adarsh Raja, Sandesh Raja, Syed Muhammad Sinaan Ali
Surgery.2024; 176(5): 1329. CrossRef
Advantages of using a polymeric clip versus an endoloop during laparoscopic appendectomy in uncomplicated appendicitis: a randomized controlled study
Kil-yong Lee, Jaeim Lee, Youn Young Park, Seong Taek Oh
World Journal of Emergency Surgery.2023;[Epub] CrossRef

Case Report

Inflammatory Fibroid Polyp in the Jejunum Causing Small Bowel Intussusception: Sung Hoon Kang, Seok Won Kim, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong, Jin Su Kim, Gyu Sang Song; Ann Coloproctol. 2015;31(3):106-109. Published online June 30, 2015; DOI: https://doi.org/10.3393/ac.2015.31.3.106

5,261 View
51 Download
7 Web of Science
11 Citations

Abstract PDF

Intussusceptions are defined as the telescoping of one segment of the gastrointestinal tract into an adjacent distal segment. In the small bowel, intussusceptions are typically caused by benign processes, but can occasionally be caused by inflammatory fibroid polyps, which often present as intussusception and bowel obstruction. These polyps are rare, benign, tumorous lesions in the gastrointestinal tract and are typically observed in the stomach, but can occur anywhere in the gastrointestinal tract. Any case of a jejunojejunal intussusception caused by inflammatory fibroid polyps is considered rare, and we report the case of a 51-year-old woman with an inflammatory fibroid polyp of the jejunum presenting as an intussusception who was successfully treated with a resection.

Citations

Citations to this article as recorded by

PÓLIPO FIBROSO INFLAMATÓRIO EM TRATO GASTROINTESTINAL, UM DIAGNÓSTICO DIFERENCIAL DE INTUSSUSCEPÇÃO INTESTINAL EM ADULTO: RELATO DE CASO E REVISÃO
Raul Valério Ponte, Priscila Ferreira de Lima e Souza, Raíra Marques Oliveira, Bruna Viana Teles Rebouças, Sarah Mombach de Arruda, Isabella Siqueira Oliveira, Kalyne Saraiva Fontenele de Araújo, Maria Eduarda Lima Lobão Maia
Revista Contemporânea.2024; 4(9): e5834. CrossRef
Jejunal Intussusception Secondary to a Large Inflammatory Fibroid Polyp: A Case Report and Discussion of Differential Diagnosis
Asma Khalid Abu-Salah, Eric Brocken, Hector Mesa, Katrina Collins, Mirella Marino
Case Reports in Pathology.2023; 2023: 1. CrossRef
Inflammatory fibroid polyp (Vanek's tumor) causing double compound ileo-ileal intussusception in an adult patient, a case report
Ahmed Gadoura, Farah Mohammed, Mohamed Abdulkarim, Ammar Ibn Yasir, Dafalla Shani, Nadir Salih
International Journal of Surgery Case Reports.2022; 93: 106947. CrossRef
Adult intussusception due to ileal polyp - A case report
Tahmina Hakim
International Journal of Surgery Case Reports.2022; 99: 107554. CrossRef
Ileal Intussusception in an Adult Caused by a Locally Invasive Inflammatory Fibroid Polyp: A Case Report
Luiz M. Nova, Paul Lopez, Clara Cerezo, Concepción Llanos, Irene Amat
Revista Española de Patología.2021; 54(1): 65. CrossRef
Adult Jejuno-jejunal intussusception due to inflammatory fibroid polyp
Yi-Kai Kao, Jian-Han Chen
Medicine.2020; 99(36): e22080. CrossRef
Adult Jejuno-Jejunal Intussusceptions due to Gastrointestinal Stromal Tumor
Jayabal Pandiaraja
Indian Journal of Medical and Paediatric Oncology.2020; 41(04): 602. CrossRef
Laparoscopic Resection of a Jejunal Inflammatory Fibroid Polyp that Caused Occult Gastrointestinal Bleeding, Diagnosed via Capsule Endoscopy and Double-Balloon Enteroscopy: A Case Report
Chizu Kameda, Hideaki Miwa, Ryohei Kawabata, Daiki Marukawa, Masahiro Murakami, Shingo Noura, Junzo Shimizu, Junichi Hasegawa
Clinical Endoscopy.2018; 51(4): 384. CrossRef
Inflammatory fibroid polyps of the appendix: different presentation and literature review
Ibrahim Albabtain, Hassan Arishi, Slava Albaghli, Jumanah Aljahani
Journal of Surgical Case Reports.2018;[Epub] CrossRef
Pólipo fibroideo inflamatorio del tracto gastrointestinal: 10 años de experiencia del Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
A.F. Romano-Munive, R. Barreto-Zuñiga, J.A. Rumoroso-García, P. Ramos-Martínez
Revista de Gastroenterología de México.2016; 81(3): 134. CrossRef
Inflammatory fibroid polyp of the gastrointestinal tract: 10 years of experience at the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
A.F. Romano-Munive, R. Barreto-Zuñiga, J.A. Rumoroso-García, P. Ramos-Martínez
Revista de Gastroenterología de México (English Edition).2016; 81(3): 134. CrossRef

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