EFFECTIVENESS OF LAPAROSCOPIC SUTURING VERSUS CLIP APPLICATION IN CHOLECYSTECTOMYOUR EXPERIENCE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 19
Abstract
BACKGROUND Laparoscopic cholecystectomy (LC) has become the gold standard treatment for symptomatic gall stone disease. Post cholecystectomy bile leak occurs mostly because of extra-hepatic bile duct injuries. It is a rare but potentially disastrous complication associated with significant morbidity and mortality, increase in healthcare expenses, and also is the commonest reason for medical litigation in gastrointestinal surgery. We wanted to compare the overall operative time of suture ligation with that of LIGACLIPs. METHODS A retrospective analysis of records of all patients who underwent cholecystectomy from January 2016 to December 2016 at Krishna Institute of Medical Sciences, was conducted in July 2018. KIMS is a referral tertiary level teaching hospital in Karad, Maharashtra. RESULTS The mean operative time in group A was 30-50 minutes and in group B it was 30-40 minutes (p= 0.015). The time required for suture ligation was 6.5±1.3 min and for LIGACLIPs it was only 4±1.1 min thus decreasing the overall operative time of the procedure (p > 0.001) which was significant. CONCLUSIONS We observed that silk suture is safe, cost effective but it required training as compared to clip application. But for clip application, clip applicator is required, which is costly.
Authors and Affiliations
Ashok Y Kshirsagar, Aditya Chawla
Keywords
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- EP ID EP617667
- DOI 10.14260/jemds/2019/352
- Views 177
- Downloads 0
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