Purpose: Laparoscopic appendectomy is a commonly performed laparoscopic surgery. In laparoscopic appendectomy, inadequate closure of the appendiceal base can lead to severe complications. Although there are various methods for base closure in laparoscopic appendectomy, but standard method is not established. This prospective randomized study was performed to evaluate safety of single endo-loop ligation for appendiceal base ligation in laparoscopic appendectomy.
Methods: A total of 173 patients were randomized in two groups: 86 in group A using one endo-loop and 87 in group B using two endo-loops. The groups were compared in terms of operating time, return to diet, hospital stay, and postoperative complications.
Results: There were no significant differences between two groups in terms of age, gender distribution, type of appendicitis, operating time, return to diet, and hospital stay. Postoperative complications were found in three patients in group A, consisting of umbilical wound infection. In group B, postoperative complications were found in five patients, consisting of umbilical wound infection (four patients), adhesion (one patient). There was no significant difference in postoperative complications between two groups.
Conclusion: Single endo- loop for appendiceal base ligation is safe in laparoscopic appendectomy.
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