CONTROL OF CYSTIC ARTERY DURING LAPAROSCOPIC CHOLECYSTECTOMY, CLIPPING VERSUS BIPOLAR ELECTROCAUTRY: INSTITUTION BASED EXPERIENCE
Journal Title: World Journal of Advance Healthcare Research - Year 2018, Vol 2, Issue 3
Abstract
Background: This study was undertaken to determine the efficacy of use of bipolar electrocautry in dealing with cystic artery during laparoscopic cholecystectomy, and to establish weather bipolar electrocautry is an equivalent alternative to conventional clip application. Methods: About 200 patients undergoing laparoscopic cholecystectomy were selected on a prospective basis and divided into two groups- A and B(100 patients in each group. a comparative study was done between the two group. Clips were used to control cystic artery in group A patients and bipolar electrocautry was used for the same in group B. Results: In group A, 3 patients had clip slippage intraoperatively which was dealt by reapplication of clips.in group B,2 patient had intraoperative bleeding from cystic artery few minutes after application of bipolar thermal energy which was dealt by applying clips. In both the groups no postoperative bleeding was encountered. Conclusions: During laparoscopic cholecystectomy, clip usage and bipolar electrocautry are equally competent in achieving haemostasis of cystic artery.
Authors and Affiliations
Irfan Nazir Mir
Keywords
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