Appendiceacal Stump Closure Clip vs Ligature in Laparoscopic Appendectomy

bstractIntroduction: Acute appendicitis is a widely practiced surgical procedure in the globe. It has been recommended to do the procedure by laparoscopy rather than open approach.Aim of the study: To compare between stump ligation versus clip application in patients undergoing laparoscopic appendectomy.Subjects and Methods: This comparative study was conducted at the General Surgery department, Fayoum University Hospitals from January 2023 to March 2024. The study recruited participants diagnosed with acute appendicitis and were scheduled for laparoscopic excision of the appendix. They were assigned to two groups according to the method of stump closure: ligation group and titanium clip application group. The participants had routine postoperative care and regular follow up after surgery. Outcome measures included duration of surgery, postoperative complications, and time to return to work.Results: The demographic data of both groups was matched. The inflammatory pattern and gross picture of the appendix between both groups were closely similar. The mean surgical duration in the intracorporeal ligation group and the titanium clips group was 55.39± 4.5 min. and 44.57± 4.79 min., respectively (p value <0.001). The mean hospital stays and time to return to work were significantly shorter in the titanium clip group (p value <0.001 and 0.011, respectively). Both groups reported almost the same postoperative complications with no significant difference.