Evaluation of Security of Roeder’s Knot in Laparoscopic Appendicectomy and Cholecystectomy

Abstract

Introduction: Laparoscopic surgery has gained significant attention in recent years due to its suitability for the treatment of appendix and gallbladder diseases, offering a less invasive surgical approach. The practical application of laparoscopic appendicectomy and cholecystectomy presents several advantages. Aim of the study: This study aimed to evaluate the security of Roeder’s knot in laparoscopic appendicectomy and cholecystectomy. Methods and materials: This was an experimental study that was conducted at the Department of Surgery in Jahurul Islam Medical College & Hospital, Kishorgonj, Bangladesh from Jan 2020 to Dec 2021. A total of 100 patients undergoing laparoscopic appendicectomy and cholecystectomy admitted in the Surgery ward of the mentioned hospital were enrolled in this study as the study subjects purposively. For data analysis, MS Office tools and SPSS Version 23.0 were applied. Results: Among the total patients who underwent laparoscopic appendicectomy, 94.3% had a smooth recovery without complications, while 5.7% experienced complications. On the other hand, among the total patients who underwent laparoscopic cholecystectomy, 90% had an uneventful recovery, and 10% experienced complications. Regarding the time required to perform Roeder's knot, the mean duration for laparoscopic appendicectomy was 50±3.40 seconds, while for laparoscopic cholecystectomy, it was 125±7.90 seconds. Conclusion: The security of Roeder’s knot in stump closure in laparoscopic appendicectomy and cholecystectomy is sufficient which is evident by the lower rate of stump leakage and complication rate.