To compare efficiency of ultrasonic vessel sealing device and convention- al method in laparoscopic cholecystectomy. | [Journal of Muhammad Medical College • 2023]

Author(s):

1. Anum Asif: Department of Surgery, Ibne-Sina University,Mirpurkhas,Pakistan

2. Syed Amir Shah: Department of General Surgery. LUMHS,Jamshoro,Pakistan

3. Sadia paras: Department of Surgery. Indus Medical College,Tando Muhammad Khan,Pakistan

4. Maria Memon: Department of General Surgery. LUMHS,Jamshoro, Pakistan

Abstract:

Objective: To compare the outcomes of ultrasonic vessel sealing device and conventional method during laparoscopic cholecystectomy. Methodology: This prospective comparative study was carried at the Department of General Surgery, LUMHS during1606-2021 to 25-01-2022. A total of 140 Patients with symptomatic gallstones assigned in two groups on surgeon's preference after fulfilling inclusion criteria for LC. Group A, LC done by Using clips & cautery method and group B, LC done by using harmonic scalpel. All surgeries was performed by senior consultant. Data was collected via pre-structured proforma. The outcomes was measured. Results: Mean duration of procedure difference was significantly less in patients with LC was done with harmonic scalpel in comparison with conventional method [Mean difference -6.71±1.24 min; p=0.0005]. Rate of intraoperative bleeding more than 100 ml was significant [A=35.7% vs. B=0; p=0.0005]. Similarly rate of postoperative bleeding was significant [A=17.14% vs. B=5.71%; p=0.034]. Rate of gallbladder perforation and lateral tissue damage was also significant [14.3% vs. 40%; p=0.001] and [0% vs. 10%; =0.013] respectively. Drain content was significant [A=72.3% vs. B=11.4%; p=0.0005]. Hospital stay more than 1 day was significantly less in patients [A=62.8% vs. B=30% p=0.0005]. Conclusion: The ultrasonic vascular sealing device achieves satisfactory hemobiliary stasis in most of patients and may serve as a safer substitute to definitive cystic duct and artery clipping.

Page(s): 21-25

DOI: DOI not available

Published: Journal: Journal of Muhammad Medical College, Volume: 14, Issue: 1, Year: 2023

Keywords:

Laparoscopic cholecystectomy , outcomes , conventional method , ultrasonic vessel sealing device

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