CLOSURE OF THE CYSTIC DUCT DURING LAPAROSCOPIC CHOLECYSTECTOMY BY THE LIGASURE VESSEL SEALING SYSTEM
NAFEA, A., ABDELAZIZ, H., SHAKER, H., NASR, M., FAYROUZ, A., HAMDY, H., RADY, M. (2019). CLOSURE OF THE CYSTIC DUCT DURING LAPAROSCOPIC CHOLECYSTECTOMY BY THE LIGASURE VESSEL SEALING SYSTEM. EKB Journal Management System, 49(1), 214-220. doi: 10.21608/jesp.2019.68306
AYMAN NAFEA; HESHAM ABDELAZIZ; HASSAN SHAKER; MAGED NASR; ASAAD FAYROUZ; HOSAM HAMDY; MAHMOUD RADY. "CLOSURE OF THE CYSTIC DUCT DURING LAPAROSCOPIC CHOLECYSTECTOMY BY THE LIGASURE VESSEL SEALING SYSTEM". EKB Journal Management System, 49, 1, 2019, 214-220. doi: 10.21608/jesp.2019.68306
NAFEA, A., ABDELAZIZ, H., SHAKER, H., NASR, M., FAYROUZ, A., HAMDY, H., RADY, M. (2019). 'CLOSURE OF THE CYSTIC DUCT DURING LAPAROSCOPIC CHOLECYSTECTOMY BY THE LIGASURE VESSEL SEALING SYSTEM', EKB Journal Management System, 49(1), pp. 214-220. doi: 10.21608/jesp.2019.68306
NAFEA, A., ABDELAZIZ, H., SHAKER, H., NASR, M., FAYROUZ, A., HAMDY, H., RADY, M. CLOSURE OF THE CYSTIC DUCT DURING LAPAROSCOPIC CHOLECYSTECTOMY BY THE LIGASURE VESSEL SEALING SYSTEM. EKB Journal Management System, 2019; 49(1): 214-220. doi: 10.21608/jesp.2019.68306

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

Journal of the Egyptian Society of Parasitology
Article 26, Volume 49, Issue 1, April 2019, Page 214-220  XML PDF (429.74 K)
Document Type: Original Article
DOI: 10.21608/jesp.2019.68306
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Authors
AYMAN NAFEA1; HESHAM ABDELAZIZ1; HASSAN SHAKER2; MAGED NASR3; ASAAD FAYROUZ3; HOSAM HAMDY3; MAHMOUD RADY3
1Department of General Surgery, Theodor Bilhariz Research Institute, ,Imbaba P. O. Box 30 Giza, Egypt.
2Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.
3Department of General Surgery, Theodor Bilhariz Research Institute,Imbaba P. O. Box 30 Giza, Egypt.
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.
Keywords
Cholecystectomy; Gall bladder; Complications; Cystic duct leakage; Liga-Sure; LVSS
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