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110852

Clippless Laparoscopic Cholecystectomy Using Ultrasonic Dissection

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Last updated: 22 Jan 2023

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Abstract

Abstract Background: The surgical removal of the gallbladder, or cholecystectomy, is one of the more commonly performed procedures by general surgeons. Cholecystectomy represents the most common biliary tract procedure and the second most common surgical procedure overall. Aim of Study: To evaluate the role of Harmonic scalpel in laparoscopic cholecystectomy in closure of cystic duct and artery and its complications. Patients and Methods: This prospective randomized study was conducted at El-Zahra University Hospital, Cairo, Egypt, on 100 consecutive patients between March 2017 and October 2019 with chronic calcular cholecystitis. Patient selection for the study was based on clinical diagnosis, ultrasonographic examination findings, laboratory investigations. All patients of the study were subjected to laparoscopic cholecystectomy using the harmonic scalpel for hemostasis and for sealing of the cystic duct without using any ligatures or clips. Results: The operative time in patients of the study ranged between 40-105min with a mean operative time of 55.4±15.6 min. In our patients post-operative bleeding occur in two cases (2%) which was minimal and stopped spontaneously, wound infection in 3 patients (3%), bile leak was present in one case (1%), which stop spontaneously after 5 days. Conclusion: The use of ultrasonic technology in the closure of the cystic duct has proven to be as safe and effective as the commonly used simple metal clips. Neither minor nor major bile leaks attributed to the use of ultrasonic technology were encountered throughout the study period.

DOI

10.21608/mjcu.2020.110852

Keywords

Clippless laparoscopic cholecystectomy, Har-monic scalpel

Authors

First Name

HAMED A. ELBADAWY, M.D.;

Last Name

MAHMOUD M. SALAMA, M.Sc.

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First Name

GAD Y.

Last Name

MEKKI, M.D.

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Affiliation

The Department of General Surgery, Faculty of Medicine for Girls, Al-Azhar* and Ain Shams** Universities, Cairo, Egypt

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Volume

88

Article Issue

June

Related Issue

14146

Issue Date

2020-06-01

Receive Date

2020-01-03

Publish Date

2020-06-01

Page Start

1,157

Page End

1,163

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_110852.html

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https://mjcu.journals.ekb.eg/service?article_code=110852

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21

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Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

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Article

Created At

22 Jan 2023