Laparoscopic appendectomy in children: Use of the endoloop vs the endostapler

Jeffrey Lukish, David Powell, Steve Morrow, David Cruess, Phil Guzzetta

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Hypothesis: Two techniques are used for laparoscopic appendectomy (LA): division of the mesoappendix with the harmonic scalpel and ligation of the appendix with an endoloop (EL), or division of the mesoappendix and appendix with an endostapler (ES). Using an ES is a cost-effective technique that provides an outcome benefit in children who require appendectomy. Design: Case series. Setting: Academic, tertiary care children's hospital. Patients: Seventy-five children who underwent LA from January 1, 2002, to March 31, 2004. Intervention: Laparoscopic appendectomy. Main Outcome Measures: Age, diagnosis, length of stay, surgical time, total operating room time, complications, and instrumentation costs were compared between the EL and ES groups. Results: There was no significant difference in age, length of stay, perforated, gangrenous, or acute appendicitis diagnoses, or complications between the groups. The surgical time and total operating room time for LA in children in the ES group were significantly shorter than in children in the EL group by 15% and 17%, respectively (P

Original languageEnglish (US)
Pages (from-to)58-61
Number of pages4
JournalArchives of Surgery
Issue number1
StatePublished - 2007
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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