Volume : IX, Issue : I, January - 2019

Comparative study of Harmonic scalpel assisted Clipless Laparoscopic Cholecystectomy V/s Clipped Laparoscopic Cholecystectomy

Dr. Bhavana Verma, Dr. Rohit Kumar, Dr. Anurag Anand

Abstract :

Laparoscopic cholecystectomy is considered worldwide the "gold standard" in the surgical treatment of symptomatic gallstones and acute cholecystitis because it offers well–known and more definite advantages in comparison with the open procedure. The standard laparoscopic cholecystectomy is usually performed using a monopolar electrosurgical hook for dissection and clips for occlusion of the cystic duct and cystic artery. Some pitfalls are associated with the use of the monopolar electric scalpel, such as the high risk of thermal injuries and significantly more common postoperative biliary complications such as bile leakage due to slippage of the clips. The ultrasonically activated scalpel (Harmonic) was introduced into surgical patients more than a decade ago. This technology relies on the application of ultrasound within the harmonic frequency range to tissues. We compare Harmonic scalpel assisted Clipless Laparoscopic Cholecystectomy with Clipped Laparoscopic Cholecystectomy in 60 patients undergoing elective laparoscopic cholecystectomy for gallstones, to determine the possible role of ultrasonically activated scissors in laparoscopic cholecystectomy, mainly focusing on the reduction of operation time,, bile duct injuries and biliary complications. Both the approaches are acceptable modalities for laparoscopic cholecystectomy and the results are comparable in terms of patient outcome. The final choice is surgeon specific and dependent on his/her expertise and learning curve.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

COMPARATIVE STUDY OF HARMONIC SCALPEL ASSISTED CLIPLESS LAPAROSCOPIC CHOLECYSTECTOMY V/S CLIPPED LAPAROSCOPIC CHOLECYSTECTOMY, Dr. Bhavana Verma, Dr. Rohit Kumar, Dr. Anurag Anand INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-1 | January-2019

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