METHOD AND RESULTS OF STUMP-TREATMENT IN LAPAROSCOPIC APPENDECTOMY

We compared 140 appendectomies in a prospective study with regard to l ength of operation, stay in hospital and intra- and postoperative comp lications. We operated by four methods and made up four groups, 35 pat ients in each: (1) application of RODER-loop and manual stump-sinking; (2) application of RODER-loop without manual stump-sinking; (3) appli cation of Endo-GIA; (4) conventional appendectomy according to McBurne y. Intraoperative complications occurred mainly in laparoscopic append ectomy, while disturbances of wound-healing were observed mainly in co nventional appendectomy. The analysis of postoperative complications i n laparoscopic appendectomy showed the most complications in the secon d group (RODER-loop without stump-sinking), while using the Endo-GIA i nvolved only a little risk. Tn a clear situs the laparoscopic appendec tomy with the RODER-loop with manual stump-sinking is recommended; in cases with a difficult preparation or advanced appendicitis the applic ation of the Endo-GIA is a safe technique with the best results.