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Cystic duct closure by sealing with bipolar electrocoagulation

S Schulze, B Damgaard, Lars Nannestad Jørgensen, S S Larsen, V B Kristiansen

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    22 Citationer (Scopus)

    Abstract

    BACKGROUND:
    Cystic duct leakage after cholecystectomy is not uncommon and is a potentially serious complication. The aim of this study was to assess a bipolar sealing system (LigaSure) for closure of the cystic duct.
    METHODS:
    The records from consecutive laparoscopic cholecystectomies performed in 2 hospitals with closure of the cystic duct with LigaSure after informed consent were recorded and complications and morbidity registered. The records were compared with those of patients undergoing laparoscopic cholecystectomy with closure of the cystic duct with clips during the same period.
    RESULTS:
    During the study period, 218 laparoscopic cholecystectomies were performed; 102 of these were performed with the LigaSure. One patient was excluded due to violation of the protocol. We experienced no cases of cystic duct leakage, but in one patient, bile leakage from the gallbladder bed was observed probably due to a small aberrant duct.
    CONCLUSION:
    The LigaSure system was safe and effective for closure and division of the cystic duct in laparoscopic cholecystectomy
    OriginalsprogEngelsk
    TidsskriftJournal of Society of Laparoendoscopic Surgeons
    Vol/bind14
    Udgave nummer1
    Sider (fra-til)20-2
    Antal sider3
    ISSN1086-8089
    DOI
    StatusUdgivet - 1 jan. 2010

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