Clipless Technique of Laparoscopic Cholecystectomy Using the Harmonic Scalpel
نویسندگان
چکیده
منابع مشابه
Laparoscopic Cholecystectomy With Harmonic Scalpel
BACKGROUND 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. By contrast, the ultrasonically activated scalpel, ie, Harmonic (Ethicon Endo Surgery INC - Johnson & Johnson Medical SPA, Somerville, N...
متن کاملNew Technique of Clipless Laparoscopic Cholecystectomy
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 m...
متن کاملRole of Harmonic Scalpel in Laparoscopic Cholecystectomy
Background: Gold standard treatment of symptomatic cholelithiatis is laparoscopic cholicystectomy. No doubt, some minor biliary complication may occur by using monopolar hook,that is because of its thermal effect. In other way,use of ultrasonically activated harmonic scalpel,ie, (Ethicon Endo Surgery INC-Johnson & Johnson Medical SPA, Somerville, NJ) in laparoscopic cholecystectomies is increas...
متن کاملLaparoscopic “Dome-Down” Cholecystectomy With the LCS-5 Harmonic Scalpel
OBJECTIVE Misidentification of ductal anatomy and electrocautery injuries are complications associated with laparoscopic cholecystectomy (LC). Dome-down LC creates a 360-degree view of the gallbladder-cystic duct junction, reducing the risk for anatomy misidentification. In addition, ultrasonic instrumentation eliminates the risk for electrocautery injuries. This study assessed the feasibility ...
متن کاملHarmonic Scalpel-Assisted Laparoscopic Cholecystectomy vs. Conventional Laparoscopic Cholecystectomy - A Non-randomized Control Trial
Introduction Laparoscopic cholecystectomy (LC) is the most commonly done, minimally invasive surgical procedure. Routinely used electrocautery produces more smoke, which masks the operating field, thereby prolongs the surgery and posing an increased risk of gallbladder (GB) perforation. The titanium clips used for clipping the cystic artery and cystic duct have a risk of slippage, which may lea...
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ژورنال
عنوان ژورنال: The Annals of The Royal College of Surgeons of England
سال: 2008
ISSN: 0035-8843,1478-7083
DOI: 10.1308/rcsann.2008.90.7.612a