Koyuncu Adil, Akinci Muzaffer, Aslan Hogir, Yildirim Buse, Degerli Mahmut Said, Yildirim Dogan, Kocakusak Ahmet, Bozkurt Hilmi
Ann Ital Chir. 2022;93:711-715.
Laparoscopic appendectomy is increasingly used in the treatment of acute appendicitis. We aimed in the present report to evaluate the reliability of the Hem-o-Lok clip used in appendix stump capping for occluding orifice .
In this study, sequential laparoscopic appendectomy cases, in whom Hem-o-Lok clips was employed, in a single center between January 2017 and June 2020 because of acute appendicitis were retrospectively analyzed.
The study was completed with a total of 305 cases who underwent laparoscopic appendectomy with hem-o-lok clips within the specified date range. There were no intraoperative complications in any of the cases. The number of women was 94 (30.8%) and the number of men was 211 (69.2%). The average age was 32.7 years. There were 275 (90.2%) patients without appendix perforations and 30 (9.8%) patients with perforations.Postoperative complications occurred in 13 patients. Surgical site infection in five patients, mechanical intestinal in two patients, intraabdominal abscess in five patients, and hematoma at the trocar entry site in one patient were observed. There were no intraoperative complications in any of the patients.
Hem-o-Lok clip can be applied safely in laparoscopic appendectomy for the capping of the appendix stump, with its easy-to-use and low-cost features.
Acute appendicitis, Laparoscopic appendectomy, Hem-o-lok clip.
腹腔镜阑尾切除术在急性阑尾炎治疗中的应用日益广泛。在本报告中，我们旨在评估用于阑尾残端包埋以封闭开口的Hem-o-Lok夹的可靠性。
本研究回顾性分析了2017年1月至2020年6月在单一中心因急性阑尾炎而采用Hem-o-Lok夹进行连续腹腔镜阑尾切除术的病例。
本研究共纳入了在指定日期范围内接受使用Hem-o-Lok夹的腹腔镜阑尾切除术的305例患者。所有病例均无术中并发症。女性患者94例（30.8%），男性患者211例（69.2%）。平均年龄为32.7岁。无阑尾穿孔患者275例（90.2%），有穿孔患者30例（9.8%）。13例患者出现术后并发症。观察到5例患者发生手术部位感染，2例患者发生机械性肠梗阻，5例患者发生腹腔内脓肿，1例患者在套管针穿刺部位出现血肿。所有患者均无术中并发症。
Hem-o-Lok夹可安全应用于腹腔镜阑尾切除术中阑尾残端的包埋，具有使用方便、成本低的特点。
急性阑尾炎；腹腔镜阑尾切除术；Hem-o-Lok夹
