Description

The advent of high-definition video-laparoscopy has transformed laparoscopic appendectomy into an elegant, reliable procedure using extracorporeal knotting for appendectomy. Adequate closure of the appendiceal stump is crucial to reducing intra-abdominal and surgical site infections. There are various techniques for closing the base of the appendix during laparoscopic appendectomy, including endoclips, knotting, clips, and staplers. To compare extracorporeal knotting sutures with metallic endoclips in laparoscopic appendiceal stump closure in terms of complications, operative time, hospital stay, and cost. The use of metallic endoclips for appendix stump closure is safe and less time-consuming, but costs more. The simplicity of the technique makes it a useful alternative to extracorporeal knotting, especially for learners.