Clipless laparoscopic cholecystectomy by ultrasonic dissection

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Samer S BessaAhmed T Awad

Abstract

Ultrasonically activated devices have been used in gallbladder dissection in the laparoscopic cholecystectomy with encouraging results. The aim of this study was to compare between the safety and efficacy of the harmonic shears and the commonly used clip and cautery technique in achieving safe closure and division of the cystic duct in the laparoscopic cholecystectomy. In this prospective study, 120 patients with symptomatic gallstone disease were randomly assigned to either the harmonic scalpel laparoscopic cholecystectomy group (HS group=60 patients) where closure and division of the cystic duct was achieved solely by the harmonic shears or the clip and cautery laparoscopic cholecystectomy group (C&C group=60 patients). Neither minor nor major bile leaks were encountered in either group. Similarly, no bile-duct injuries were encountered in the present study. The incidence of gallbladder perforation was statistically significantly higher in the C&C group, compared to the HS group (30 vs. 10%, respectively; P=0.002). The median operative time was statistically significantly shorter in the HS group than in the C&C group (32 vs. 40 minutes, respectively; P=0.000). No statistically significant difference was found in the incidence...Continue Reading

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Citations

Aug 14, 2010·Surgical Endoscopy·D Wayne OverbyUNKNOWN Society of American Gastrointestinal and Endoscopic Surgeons
Jan 6, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Vui Heng Chong, Chee Fui Chong
Apr 29, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Fatih AydoganSalih Pekmezci
Jul 16, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Alaa A Redwan
Sep 9, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Burak KavlakogluSuleyman Oral
Dec 21, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Samer S BessaEl-Saed A El-Kayal
Mar 8, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sudhir Kumar JainPrem Narayan Agarwal
Jun 14, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Khaled M KatriEl-Saed A El-Kayal
Sep 13, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Junjie XiongXubao Liu
Aug 29, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Guangjun Suo, Anan Xu
Nov 5, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chang-Ping YangGui-Bao Liu
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