Comparative study of dissection of Calot’s triangle and gallbladder using monopolar hook versus harmonic scalpel in laparoscopic cholecystectomy
نویسندگان
چکیده
Background: Laparoscopic cholecystectomy (LC) using surgical electrocautery is considered to be the gold standard procedure for treatment of uncomplicated cholecystitis and cholelithiasis. The objective current study was evaluate effectiveness safety Harmonic scalpel, an advanced laparoscopic technique when compared electrocautery. Methods: From June, 2021 through December 2022, a total 50 patients were randomly allocated LC with harmonic scalpel (group 2, 25 patients) or conventional monopolar 1, patients). main outcome measures gall bladder perforation during surgery (bile leakage), stone spillage, duration surgery, hospital stay. Results: 2 groups comparable respect baseline patient characteristics. When electrocautery, Gall leakage) 12% vs. 8%, spillage 4% 52.13 min 54.89 min, stay 2.09 days 2.04 days. Conclusions: as effective safe that treating
منابع مشابه
Harmonic Scalpel versus Monopolar Electrocauterization in Cholecystectomy
BACKGROUND AND OBJECTIVES Laparoscopic cholecystectomy (LC) using surgical electrocautery is considered to be the gold standard procedure for the treatment of uncomplicated cholecystitis and cholelithiasis. The objective of the current study was to evaluate the effectiveness and safety of the Harmonic scalpel, an advanced laparoscopic technique associated with less thermal damage in LC, when co...
متن کاملMonopolar electrocautery versus ultrasonic dissection of the gallbladder from the gallbladder bed in laparoscopic cholecystectomy.
BACKGROUND Gold standard treatment for symptomatic gall stones is laparoscopic cholecystectomy (LC). Ultrasonically activated devices have been used for gall bladder dissection in LC. Harmonic scalpel (HS) is the leading ultrasonically cutting coagulation device offering surgeons important benefits. The main aim of our study was to compare the surgical outcomes of LC performed by HS to that per...
متن کاملLaparoscopic 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 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 کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: International Surgery Journal
سال: 2023
ISSN: ['2349-2902', '2349-3305']
DOI: https://doi.org/10.18203/2349-2902.isj20230971