Comparison of Endoloop and Polymer Locking Clip in Ligating Appendicular Stump during Laparoscopic Appendectomy in Acute Appendicitis

Document Type : Original Article

Authors

1 Assistant Professor of General Surgery, Faculty of Medicine, Zagazig University, Egypt

2 Professor of General Surgery, Faculty of Medicine, Zagazig University, Egypt

3 Department 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

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Zagazig University Medical Journal
Volume 31, Issue 11
November 2025
Pages 5632-5641

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