Clipless laparoscopic cholecystectomy by Harmonic shears
نویسندگان
چکیده
منابع مشابه
Total Clipless Cholecystectomy by Means of Harmonic Sealing
BACKGROUND In traditional laparoscopic cholecistectomy, the cystic duct and artery are commonly closed by metallic clips just before their division. Although the placement of these clips for occluding cystic artery and duct can be considered safe, biliary leaks and bleeding may occur especially by its dislodgement. AIM To report a prospective case-series in total clipless cholecystectomy by m...
متن کاملClipless laparoscopic cholecystectomy--a prospective observational study.
In laparoscopic cholecystectomy (LC), cystic duct and artery are normally secured with titanium clips. Intracorporeal ligation is normally superior to extra corporeal knotting. Most studies report of separate and multiple ligations of cystic duct and artery, which are viewed as technically demanding and time consuming. Similarly the harmonic scalpel and 'LigaSure' are prohibitory expensive for ...
متن کاملNew Technique of Clipless Laparoscopic Cholecystectomy
Background: In laparoscopic cholecystectomy (LC), application of clips is the standard method for controlling the cystic duct and artery. However, this is not without problems. We propose a modified technique for management of cystic duct and artery in LC. Methods: Since 2007, 328 patients presented with symptomatic gallstones were included. In those patients, the cystic artery was divided by m...
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...
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ژورنال
عنوان ژورنال: Ain Shams Journal of Surgery
سال: 2009
ISSN: 2090-7249
DOI: 10.21608/asjs.2009.177072