TY  - JOUR
T1  - Laparaskopik apendektomide apendisiyel güdüğün kapatılmasında linear endostapler kullanımı
TT  - Laparoscopic appendectomy using a linear endostapler to appendicular stump closure
AU  - Albuz, Özgür
AU  - Buluş, Hakan
AU  - Doğan, Mustafa
AU  - Boztaş, Arzu
PY  - 2018
DA  - June
DO  - 10.21601/ortadogutipdergisi.295949
JF  - Ortadoğu Tıp Dergisi
JO  - omj
PB  - MEDİTAGEM Ltd. Şti.
WT  - DergiPark
SN  - 2548-0251
SP  - 98
EP  - 102
VL  - 10
IS  - 2
LA  - tr
AB  - Amaç:Akut apandisit şüphesi veya doğrulanmış hastalarda laparoskopik apandisitameliyatı giderek artan bir tercihtir. Bu çalışmanın amacı stapler kullanımının appendiksgüdüğünün kapatılmasındakietkinliğini değerlendirmektir.Method:Akut apandisit tanısıyla Nisan 2016- Haziran 2016 tarihleri laparoskopikapandektomi uygulanan 24 hasta çalışmaya dahil edilmiştir. Çalışma retrospektifolarak planlanmıştır. Her bir konunun bilgilendirilmiş onayı ve Yerel EtikKomitesi onayı alındı. Bilgilendirilmiş onam formunu imzalayan hastalarçalışmaya dahil edildi. İmmün baskılama, diabetes mellitus, 18yaş altı steroid ilaçları, plastrone apandisit tanısı alan, karın cerrahisiöyküsü olan ve makroskopik ve histopatolojik olarak kanıtlanmış negatif appendektomiyapılan hastalar hariç tutuldu. Hastanede kalış süresi,çalışma süresi, işe geri dönüş, geri dönüş oranı, güdük sızıntısı, yaraenfeksiyon hızı ve maliyet açısından tıbbi kayıtlar retrospektif olaraktarandı.Sonuç: 16 erkek ve 8 kadın olan 24 hastayalaparoskopik apandektomi uygulandı. (ortalamayaş 33.1 – yaş ralığı 15-65 arasıdır) 24 hastada stapler kullanılarak laparoskopik appendektomi uygulamıştır.Ortalama hastane yatış süresi 2,8 gündür(2-6 gün aralığında). Sadece 1 hastadapostoperatif yara yeri enfeksiyonu olmuştur(%4). Dönüşüm oranı%0 ‘dır. Appendiks güdüğünün açılmasıveya abse formasyonu vuku bulmamıştır(%4). Ameliyat süresiortalama 13 (7-21) dakika, ilk oral gıdaya ve normal günlük aktiviteye başlamazamanı ise sırasıyla; 16 (12-26) saat, 3.8 (3-9) gün olarak bulunmuştur.Bunlara ek olarak mevcut maliyet 320 USD artırmıştır.
KW  - Laparoskopik apendektomi
KW  - linear spapler
KW  - appendiks güdüğü
KW  - maliyet
N2  - Aim:Laparoscopic appendectomy is increasingly accepted as theoperation of choice in patients with suspected or confirmed acute appendicitis.The aim of the current study was to evaluate the effectiveness of appendicealstump closure using stapler.Methods:24 patients with acute appendicitis who underwentlaparoscopic appendectomy between April 2016 - June 2016 were included in thestudy. It was a retrospective reviewed. Informed consent of each subject andapproval of the Local Ethics Committee was obtained. The patients who hadsigned the informed consent form wereincluded in the study. Patients with immuno suppression, diabetes mellitus,using steroid medications, under the age of 18, over 65 were excluded.Additionally, cases diagnosed as plastrone appendicitis, who had history ofabdominal surgery and negative appendectomy proven macroscopically andhistopathologically were excluded.Medical records were screened retrospectively, in terms of hospitalization time, duration ofoperation, return to work, rate of return, stump leak, wound infection rate andcost.Results: Laparoscopic appendectomy wasperformed in 24 patients that is 16 males and 8 females .(mean age of 33.1years; range of 16 to 65 years). Mean hospital stay was 2,8 days (range 2–6days). Only one patient had post-operative wound infections (4% ). Conversionrate was 0%. No appendiceal stump leaks or intra-abdominal abscess occurred.Mean operative time was 13 (7-21) minute . In addition, time to the onset oforal feeding and normal daily activity were recorded and were 16 (12-26) hours,3.8 (3-9) days respectively . Use of stapler for closure of the appendicularstump increased the current cost of 320$(total 940$).
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UR  - https://doi.org/10.21601/ortadogutipdergisi.295949
L1  - https://dergipark.org.tr/en/download/article-file/495532
ER  -