| Author/Editor | Godina, M; Tasinato, R; Bragato, N; Bettineschi, F; Menegon, P; Griggio, I | |
| Title | Laparoscopic cholecystectomy utilizing a harmonic scalpel | |
| Type | članek | |
| Source | In: Jelenc F, editor. Zbornik simpozija Kirurgija žolčnika in žolčevodov; 2003 okt; Ljubljana. Ljubljana: Klinični center, Klinični oddelek za abdominalno kirurgijo, | |
| Publication year | 2003 | |
| Volume | str. 186-8 | |
| Language | eng | |
| Abstract | Background The greater reliability of laparoscopic cholecystectomy versus traditional "open" surgical treatments has been widely demonstraied in literature. The replacement of scissors, dissector and clips applicator with the harmonic scalpel gives the opportunity to use a single instrument during the whole surgical procedure, limiting the number ofpassages through the trocar and, consequently, reducing the possibility of causing lesions to the intra-abdominal organs. Methods: The authors herein relate their experience based on 115 consecutive patients, who underwent a video-assisied laparoscopic cholecystectomy in the department of surgery at Dolo Hospital (Venice). The siudy analyses the type of surgical procedure that was adopied, and the results that were obtained in the short term performing the closure of the cystic artery and the cystic duct utilizing a harmonic scalpel without applying metal clips. Results: The average operation time was 30 minutes (range 15-45), whereas the mean length of hospital stay was 3.2 days. The conversion-to-open-surgery rate was equal to 0%. Mortality and morbidity rates were equal to 0%. Conclusions: The closure of the cystic duct utilizing the harmonic scalpel during a laparoscopic cholecystectomy has proved to be a safe and reliable procedure, free from both immediate and long-term postoperative complications. No exiraneous bodies, which might be responsible for fuiure complications, are left in the proximity of the main bile duct. The risks of lesions to sensitive structures, such as the biliary tract, are strongly reduced if compared to electrocoagulation-related risks. | |
| Descriptors | CHOLELITHIASIS CHOLECYSTECTOMY, LAPAROSCOPIC TREATMENT OUTCOME |