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144321

Clipless Cholecystectomy in Adult and Pediatric Populations: Harmonic versus LigaSure Sealing

Article

Last updated: 22 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Laparoscopic cholecystectomy is the commonest surgical intervention in adults and pediatrics. The controversy still exists about the ideal sealing system.
Aim of the work:  The study aimed to evaluate the Harmonic scalpel and the LigaSure in laparoscopic clipless cholecystectomy in adults and pediatrics.
Patients and methods: 60 adults and 30 pediatric patients were selected from our institution and scheduled for total clipless laparoscopic cholecystectomy, either by Harmonic or LigaSure sealing system. Preoperatively, all patients were evaluated by history taking, clinical examination, Lab investigation, and ultrasound examination. Demographic, operative, and postoperative data were documented.
Results: Both groups of sealing systems were comparable regarding demographics, operative time, blood loss, postoperative pain, and complications.  In adult patients, 6.7% had complications [bile leak and common bile duct injury] in the harmonic group. In contrast, in the LigaSure group, 10.0% had complications [pneumonia in 3.3% and common bile duct injury with bile leak in 6.7%]. On the other hand, no bile leak or common bile duct injury was reported in the pediatric age group. The majority of pediatrics had chronic hemolytic anemia. Conversion to open in pediatrics was reported in 2 patients in harmonic and none in the LigaSure group. Surgical site infection was reported in 1 patient in LigaSure, while pneumonia was reported in 2 patients in the harmonic group.
Conclusion: LigaSure and Harmonic sealing systems are effective and safe in total clipless cholecystectomy in adult and pediatric populations. 

DOI

10.21608/ijma.2021.39729.1159

Keywords

Clipless Cholecystecomy, Ligasure, Harmonic, adults, Pediatrics

Authors

First Name

Sayed Ahmed Elhady

Last Name

Abdelmonem

MiddleName

-

Affiliation

Department of Surgery [Pediatric Surgery Unit], Dameitta Faculty of Medicine, Al-Azhar University, Egypt; Second Affiliation: Dallah Hospital, Ryadah, Kingdom of Saudi Arabia

Email

dr.elhady@domazhermedicine.edu.eg

City

-

Orcid

-

First Name

Mohammed

Last Name

Eid

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt; Second Affiliation, Maternity and Children Hospital, Najran, Ministry of Health, KSA

Email

meid@yahoo.com

City

Damietta

Orcid

-

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-08-18

Publish Date

2021-01-01

Page Start

1,025

Page End

1,032

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 1025-1032.pdf

PDF . 1.0MB

Link

https://ijma.journals.ekb.eg/article_144321.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=144321

Order

17

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023