Comparison of Endoloop and Polymer Locking Clip in Ligating Appendicular Stump during Laparoscopic Appendectomy in Acute Appendicitis | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 25 September 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.416541.4127 | ||
| Authors | ||
| Ehab Shehata Abdallah1; Khaled Safwat Fahmi2; Osama Ahmed Abdelsattar Mohamed Mohamed* 3; Walid Abdelmawla Elsayed Ali1 | ||
| 1Assistant Professor of General Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| 2Professor of General Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| 3Department of General Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| Abstract | ||
| Background: One of the most frequent causes of acute abdomen is acute appendicitis. Because laparoscopic appendectomy is safer and requires less recovery time, it has become the method of choice. However, the optimal method for appendiceal stump closure remains debatable, with endoloop ligation and clipping being the most frequently used techniques. This study aimed to compare polymeric locking clips and endoloop ligation for appendiceal stump closure during laparoscopic appendectomy in patients presenting with acute appendicitis. Methods: This prospective comparative study included 26 patients diagnosed with acute appendicitis who underwent laparoscopic appendectomy. The patients were randomly assigned to two equal groups, with 13 patients in each group. In Group A, appendiceal stump closure was performed using polymeric locking clips, whereas in Group B, endoloop ligation was used. Demographic characteristics, clinical findings, operative time, postoperative complications, length of hospital stay, time to return to work, and total treatment cost were recorded, analyzed, and compared between the two groups. Results: Operative time was significantly shorter in the clipping group (44±9.5 min) compared to endoloop ligation (53.08±10.2min, p<0.05). Postoperative complications showed no significant difference between both groups. Hospital stay was shorter in the clipping group (2±0.67days) compared to the endoloop group (2.7±0.72days, p>0.05). Total cost was significantly lower in the clipping group (269±45.1EGP) compared to endoloop ligation (1419±162.3EGP, p<0.001). Return to work duration showed no significant difference. Conclusion: Polymeric clipping and endoloop ligation are both safe and effective techniques for appendiceal stump closure in laparoscopic appendectomy | ||
| Keywords | ||
| Laparoscopic appendectomy; Appendiceal stump closure; Clipping; Endoloop ligation | ||
|
Statistics Article View: 79 |
||
