Single-working-instrument, double-trocar, clipless cholecystectomy using harmonic scalpel: a feasible, safe, and less invasive technique

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Alaa A Redwan

Abstract

The aim of this study was to evaluate the safety and efficacy of the Harmonic scalpel (Ethicon Endo-Surgery, Cincinnati, OH) in the closure/division of the cystic duct and artery, and bladder dissection in laparoscopic cholecystectomy as a single working instrument, with the use of a two-working-trocar technique, compared with the regular laparoscopic clip/cautery, three-trocar technique. This prospective study included 160 patients with symptomatic gallstone disease who were randomly assigned for laparoscopic cholecystectomy by either Harmonic shear as a single working instrument, with the two-trocar technique (group 1 = 80 patients) or group 2 (regular clip/cautery, three-trocar technique) comprising 80 patients. No significant complications were encountered in either group; however, 1 case in the regular laparoscopy group suffered mild leakage that was treated conservatively. Intraoperative bile spillage was insignificantly comparable in both groups (10 versus 13%; P = 0.46). The median operative time was statistically significantly shorter in the Harmonic group (20 versus 45 minutes; P = 0.0001). Also, hospital stay was significantly shorter in the Harmonic group (1 versus 1.5 days, respectively; P = 0.001), but no statisti...Continue Reading

References

Dec 1, 1991·Journal of Laparoendoscopic Surgery·J F SmithT Williams
Apr 9, 1999·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·S C YuW J Lee
Oct 16, 1999·Acta Anaesthesiologica Scandinavica·R Melzack
Feb 1, 2000·Surgical Endoscopy·P L LeggettG Miller
Apr 25, 2002·Surgical Endoscopy·T MoriT Yasumitsu
Nov 5, 2003·The British Journal of Surgery·L SarliL Roncoroni
Jun 10, 2004·Langenbeck's Archives of Surgery·R Bittner
Oct 19, 2007·Surgical Endoscopy·Matthew T Gettman, Jeffrey A Cadeddu
Oct 19, 2007·Surgical Endoscopy·Miguel A CuestaAlexander A F A Veenhof
Aug 30, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Samer S BessaAhmed T Awad
Feb 25, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Diego FoschiEmilio Trabucchi

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Citations

Apr 24, 2013·Surgical Endoscopy·Ganesh SankaranarayananSuvranu De
Sep 13, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Junjie XiongXubao Liu
Apr 11, 2015·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Almino Cardoso RamosNatan Zundel
Oct 5, 2018·World Journal of Gastrointestinal Surgery·Aafke H van DijkSandra C Donkervoort

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Methods Mentioned

BETA
dissection

Software Mentioned

SPSS

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