68306

CLOSURE OF THE CYSTIC DUCT DURING LAPAROSCOPIC CHOLECYSTECTOMY BY THE LIGASURE VESSEL SEALING SYSTEM

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Last updated: 04 Jan 2025

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Abstract

Laparoscopic cholecystectomy is the “gold standard" in the treatment of symptomatic gallbladder lithiasis. Nevertheless, some pitfalls are associated with the use of the monopolar hook, such as the risk of thermal injuries and biliary complications. The present study assessed the efficacy of the Liga-Sure Vessel Sealing System (LVSS) when used for cystic duct closure during laparoscopic cholecystectomy. The laparoscopic cholecystectomy was done beginning with visualization of Calot's triangle, and dissection of Calot's triangle was achieved using a monopolar cautery device. Once the cystic duct was exposed, sealing was performed and divided using the LVSS. The records were compared with
those of patients undergoing laparoscopic cholecystectomy with closure of the cystic duct with clips during the same period. The results showed that during the study period, 218 laparoscopic cholecystectomies were performed; 82 of these were performed with the Liga-Sure. The work was experienced a single case of bile leakage from the cystic duct due to missed stone in the common bile duct that was managed using ERCP.

DOI

10.21608/jesp.2019.68306

Keywords

Cholecystectomy, Gall bladder, Complications, Cystic duct leakage, Liga-Sure, LVSS

Authors

First Name

AYMAN

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NAFEA

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Affiliation

Department of General Surgery, Theodor Bilhariz Research Institute, ,Imbaba P. O. Box 30 Giza, Egypt.

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First Name

HESHAM

Last Name

ABDELAZIZ

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-

Affiliation

Department of General Surgery, Theodor Bilhariz Research Institute, ,Imbaba P. O. Box 30 Giza, Egypt.

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First Name

HASSAN

Last Name

SHAKER

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-

Affiliation

Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.

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First Name

MAGED

Last Name

NASR

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-

Affiliation

Department of General Surgery, Theodor Bilhariz Research Institute,Imbaba P. O. Box 30 Giza, Egypt.

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First Name

ASAAD

Last Name

FAYROUZ

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-

Affiliation

Department of General Surgery, Theodor Bilhariz Research Institute,Imbaba P. O. Box 30 Giza, Egypt.

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First Name

HOSAM

Last Name

HAMDY

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-

Affiliation

Department of General Surgery, Theodor Bilhariz Research Institute,Imbaba P. O. Box 30 Giza, Egypt.

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Orcid

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First Name

MAHMOUD

Last Name

RADY

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-

Affiliation

Department of General Surgery, Theodor Bilhariz Research Institute,Imbaba P. O. Box 30 Giza, Egypt.

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Volume

49

Article Issue

1

Related Issue

10320

Issue Date

2019-04-01

Receive Date

2020-01-15

Publish Date

2019-04-01

Page Start

214

Page End

220

Print ISSN

1110-0583

Online ISSN

2090-2549

Link

https://jesp.journals.ekb.eg/article_68306.html

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https://jesp.journals.ekb.eg/service?article_code=68306

Order

26

Type

Original Article

Type Code

1,127

Publication Type

Journal

Publication Title

Journal of the Egyptian Society of Parasitology

Publication Link

https://jesp.journals.ekb.eg/

MainTitle

CLOSURE OF THE CYSTIC DUCT DURING LAPAROSCOPIC CHOLECYSTECTOMY BY THE LIGASURE VESSEL SEALING SYSTEM

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Article

Created At

22 Jan 2023