{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T13:01:42Z","timestamp":1776603702811,"version":"3.51.2"},"reference-count":9,"publisher":"Index Copernicus","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>It is generally agreed that laparoscopic appendectomy is a valuable operative method.<\/jats:p><jats:p>The aim of the study was to evaluate cost-effectiveness of three different techniques used to close the appendix stump.<\/jats:p><jats:p>Material and methods. We conducted a retrospective study that compared three groups of patients who were operated on laparoscopically for acute appendicitis in 2013 at our institution. We used an endoscopic clip to close the appendix stump in the first group (n=20), endoscopic stapler was applied in the second group (n=20), and in the third group of patients the appendix base was closed with a laparoscopic suture (n=20). These groups were matched by age, sex and BMI.<\/jats:p><jats:p>Results. The average operative cost was the highest in the second group. Cost of the laparoscopic appendectomy with the application of the endoscopic clip was significantly lower (first group) and comparable to the third group. Observed differences in total hospitalization costs were associated only with the chosen appendix stump closure technique.<\/jats:p><jats:p>Conclusions. Clip closure of the appendix base is an easy and cost-effective procedure. The laparoscopic suture technique is the cheapest but technically demanding. According to our experience endoscopic stapler may be useful in some cases, although it is the most expensive method.<\/jats:p>","DOI":"10.1515\/pjs-2016-0015","type":"journal-article","created":{"date-parts":[[2016,3,10]],"date-time":"2016-03-10T08:30:48Z","timestamp":1457598648000},"source":"Crossref","is-referenced-by-count":12,"title":["Laparosocopic Appendectomy, Cost-Effectiveness of Three Different Techniques Used to Close the Appendix Stump"],"prefix":"10.5604","volume":"87","author":[{"given":"Maciej","family":"Matyja","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcin","family":"Strza\u0142ka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazimierz","family":"Rembiasz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"ref121","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1007\/s10198-011-0355-6","article-title":"Cost - effectiveness of open versus laparoscopic appendectomy : a multilevel approach with propensity score matching","volume":"13","author":"Haas","year":"2012","journal-title":"Eur J Health Econ"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1007\/s00464-005-0525-7","article-title":"in t Hof Securing the appendiceal stump in laparoscopic appendectomy : evidence for routine stapling","volume":"20","author":"Kazemier","year":"2006","journal-title":"Surg Endosc"},{"key":"ref31","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD001546.pub3","article-title":"Laparoscopic versus open surgery for suspected appendicitis CD","author":"Sauerland","year":"2010","journal-title":"Database Syst Rev"},{"key":"ref41","first-page":"1","article-title":"Laparoscopic appendectomy : quality care and cost effectiveness for today s economy World Nov","volume":"8","author":"Costa","year":"2013","journal-title":"Emerg Surgery"},{"key":"ref131","first-page":"397","article-title":"Appendix stump closure with titanium clips in laparoscopic appendectomy Feb","author":"Rickert","year":"2012","journal-title":"Arch"},{"key":"ref151","article-title":"de Appendiceal stump closure by metal endoclip in the management of complicated acute appendicitis World","volume":"8","author":"Gomes","year":"2013","journal-title":"Emerg"},{"key":"ref51","first-page":"179","article-title":"Laparoscopic appendectomy is it worth the cost ? Trend analysis in the US from to","volume":"208","author":"Sporn","year":"2000","journal-title":"Am"},{"key":"ref111","first-page":"231","article-title":"Intracorporeal knotting versus metal endoclip application for the closure of the appendiceal stump during laparoscopic appendectomy in uncomplicated appendicitis","volume":"8","author":"Gonenc","year":"2012","journal-title":"Adv Tech"},{"key":"ref141","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1097\/SLE.0b013e31824f25cd","article-title":"Comparison of intracorporeal knot - tying suture ( polyglactin ) and titanium endoclips in laparoscopic appendiceal stump closure : a prospective randomized study","volume":"22","author":"Ates","year":"2012","journal-title":"Surg Laparosc Endosc Percutan Tech"}],"container-title":["Polish Journal of Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.degruyter.com\/view\/j\/pjs.2015.87.issue-12\/pjs-2016-0015\/pjs-2016-0015.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,1,31]],"date-time":"2018-01-31T12:08:47Z","timestamp":1517400527000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/view\/j\/pjs.2015.87.issue-12\/pjs-2016-0015\/pjs-2016-0015.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,1]]},"references-count":9,"journal-issue":{"issue":"12"},"URL":"https:\/\/doi.org\/10.1515\/pjs-2016-0015","relation":{},"ISSN":["0032-373X"],"issn-type":[{"value":"0032-373X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,1]]}}}