Extracorporeal knot-tying suture versus metallic endoclips in laparoscopic appendicular stump closing in uncomplicated acute appendicitis

Background
Laparoscopic appendectomy (LA) is a popular operative procedure. But, worries still exist concerning if the appendicular stump closing must be performed with a clip, an end loop, or other methods.
Aim
The aim of the study was to match the extracorporeal knot-tying join with metallic endoclips in LA stump closing in terms of complications, surgical period, hospitalization, and cost.
Patients and methods
The current work was a prospective randomized comparative study that included 60 cases who visited the general surgery department in Rabia Hospital in KSA, the patients with appendicitis have been treated by LA between March 2020 and March 2021. The cases have been allocated to two identical groups: group 1 has been exposed to extracorporeal knotting group (30 cases) and group 2 was exposed to the metallic endoclip (30 cases).
Results
Intraoperative and postoperative complications in the studied groups have no statistical difference. However, the frequencies of the complications were slightly higher in the endoclip group compared with extracorporeal knotting group.
Conclusion
Based on the obtained results from the present study, we concluded that closing the appendicle stump with extracorporeal knotting and metallic endoclip in patients who undergo LA was not different according to postsurgical complications and hospitalization period, but the frequencies of the complications were slightly higher in the endoclip group compared with extracorporeal knotting group. The two approaches can be utilized, depending on the surgeon’s view with no expected statistically significant change in the findings.