Online citations, reference lists, and bibliographies.

New Technique Of Clipless Laparoscopic Cholecystectomy

A. Elgeidie
Published 2012 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
Background: In laparoscopic cholecystectomy (LC), application of clips is the standard method for controlling the cystic duct and artery. However, this is not without problems. We propose a modified technique for management of cystic duct and artery in LC. Methods: Since 2007, 328 patients presented with symptomatic gallstones were included. In those patients, the cystic artery was divided by monopolar cautery and the cystic duct was ligated intracorporeally using nonabsorbable suture. Results: Three patients (0.9%) have bleeding from cauterized cystic artery; bleeding was controlled by diathermy in two of them and application of metal clip was necessary in the remaining patient. Cystic duct leak was detected in only one patient (0.3%), and it was managed by percutaneous drainage. At follow up we did not encounter abnormalities suggestive of bile duct stricture. Conclusion: The proposed modification of LC is feasible, practical, safe and economic as well. It is associated with reduced risk of postoperative morbidity.
This paper references
10.1007/BF01274615
296. Die erste Cholecystektomie durch das Laparoskop
E. Mühe (1986)
10.1007/s004649900276
Cystic duct leak after laparoscopic cholecystectomy
S. Wise Unger (1996)
10.1016/0002-9610(91)90596-6
Ligation of the structures of the cystic pedicle during laparoscopic cholecystectomy.
L. Nathanson (1991)
A clinical evaluation of absorbable polydioxanone ligating clips in abdominal and pelvic operations.
Clarke-Pearson Dl (1985)
10.1007/s11605-009-1131-0
Biliary Complications Secondary to Post-Cholecystectomy Clip Migration: A Review of 69 Cases
V. Chong (2009)
Bile duct injury during laparoscopic cholecystectomy: a prospective nationwide series.
S. Adamsen (1997)
10.1016/0140-6736(92)93148-G
Randomised controlled trial of laparoscopic versus mini cholecystectomy
J. Barkun (1992)
[Dislocation of clips of the cystic duct stump].
B. Geissler (1998)
Absorbable ligating clips.
C. J. Schaefer (1982)
10.1007/s004649910012
Absorbable clips for cystic duct ligation in laparoscopic cholecystectomy
K. Leung (2007)
Randomised controlled trial of laparoscopic versus mini cholecystectomy. The McGill Gallstone Treatment Group.
J. Barkun (1992)
Clipless Cholecystectomy: Broadening the Role of the Harmonic Scalpel
J. Westervelt (2004)
Complications of laparoscopic cholecystectomy in China: an analysis of 39,238 cases.
X. Huang (1997)
10.1089/lap.1997.7.37
Migration of metallic clips used during laparoscopic cholecystectomy and formation of gallstones around them: surgical implications from a prospective study.
F. Cetta (1997)
10.1159/000128495
Biological tolerance to polydioxanone absorbable clips: a comparison with metallic ligating clips.
F. Michel (1985)
Cholecystectomy, Cholecystostomy, and Intraoperative Evaluation of the Biliary Tree
E. C. Ellison (2001)
10.1046/j.1445-2197.2002.02587.x
Biliary tract injury in laparoscopic cholecystectomy: Results of a single unit
Michael Miroshnik (2002)
10.1007/S004640040038
Migration of endoclip into duodenum. A rare complication after laparoscopic cholecystectomy.
C. C. Yao (2001)
10.1148/RADIOLOGY.214.3.R00MR07902
Ligating clips for three-dimensional MR angiography at 1.5 T: in vitro evaluation.
D. Weishaupt (2000)
10.1007/s00464-004-2253-9
An audit of cystic duct closure in laparoscopic cholecystectomies
A. Rohatgi (2004)
10.1159/000051959
Embolism of a Metallic Clip: An Unusual Complication following Laparoscopic Cholecystectomy
K. Ammann (2000)
10.1002/bjs.1800801232
Bile duct injury and bile leakage in laparoscopic cholecystectomy
S. Huang (1993)
10.1007/s005950300003
Efficacy of Absorbable Clips Compared with Metal Clips for Cystic Duct Ligation in Laparoscopic Cholecystectomy
H. Yano (2003)
Surgical clips incorporated into a duodenal ulcer: a rare complication after elective laparoscopic cholecystectomy.
L. D. Reis (2000)
A clinical evaluation of absorbable polydioxanone ligating clips in abdominal and pelvic operations.
D. Clarke-Pearson (1985)
The First Laparoscopic Cholecystectomy
W. Reynolds (2001)
10.1097/00000658-199611000-00005
Mortality and complications associated with laparoscopic cholecystectomy. A meta-analysis.
J. Shea (1996)



This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar