CLOSURE OF THE CYSTIC DUCT DURING LAPAROSCOPIC CHOLECYSTECTOMY BY THE LIGASURE VESSEL SEALING SYSTEM

NAFEA, AYMAN; ABDELAZIZ, HESHAM; SHAKER, HASSAN; NASR, MAGED; FAYROUZ, ASAAD; HAMDY, HOSAM; RADY, MAHMOUD

doi:10.21608/jesp.2019.68306

CLOSURE OF THE CYSTIC DUCT DURING LAPAROSCOPIC CHOLECYSTECTOMY BY THE LIGASURE VESSEL SEALING SYSTEM

Document Type : Original Article

Authors

¹ Department of General Surgery, Theodor Bilhariz Research Institute, ,Imbaba P. O. Box 30 Giza, Egypt.

² Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.

³ Department of General Surgery, Theodor Bilhariz Research Institute,Imbaba P. O. Box 30 Giza, Egypt.

10.21608/jesp.2019.68306

Abstract

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. The present study assessed the efficacy of the Liga-Sure Vessel Sealing System (LVSS) when used for cystic duct closure during laparoscopic cholecystectomy. The laparoscopic cholecystectomy was done beginning with visualization of Calot’s triangle, and dissection of Calot’s triangle was achieved using a monopolar cautery device. Once the cystic duct was exposed, sealing was performed and divided using the LVSS. The records were compared with
those of patients undergoing laparoscopic cholecystectomy with closure of the cystic duct with clips during the same period. The results showed that during the study period, 218 laparoscopic cholecystectomies were performed; 82 of these were performed with the Liga-Sure. The work was experienced a single case of bile leakage from the cystic duct due to missed stone in the common bile duct that was managed using ERCP.

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