Page 21 - World Journal of Laparoscopic Surgery

WJOLS

Clipped vs Clipless Laparoscopic Cholecystectomy using the Ultra sonically Activated (Harmonic) Scalpel

Fig. 1: Dissection of Calot’s triangle Fig. 2: Skeletonization of cystic duct and artery

Fig. 3: Coagulation and cutting of cystic artery Fig. 4: Coagulation and cutting of cystic duct

Finally, dissection of gallbladder bed and extraction of Sciences (Inc., Chicago, IL) program, version 17. The
gallbladder done. description of the data was done in the form of mean ±
Operative data including the operative time, intraop- SD for quantitative data and frequency and proportion
erative difficulties, and postoperative complications in for qualitative data. The analysis of the data was done to
the form of bile leak and wound infection were recorded. test statistical significant difference between groups. For
The postoperative analysis included postoperative quantitative data, Student’s t-test was used to compare
follow-up in the form of clinical examination (pulse, between two groups. Chi-square test was used for quali-
temperature, blood pressure, respiratory rate, and tative data and odds ratio for risk assessment.
abdominal examination) till discharge and postoperative
investigations in the form of full blood count, assess-
ment of liver (ALT, total bilirubin, direct bilirubin and RESULTS

alkaline phosphatase), pelvi-abdominal U/S at day 10 This study included 60 patients, 46 females (76.7%) and
with special attention to the presence or absence of 14 males (23.3%) with symptomatic gallstone disease,
any subhepatic collection, hospital stay. Patients were with a mean age of 39 years (19–79 years). Following
discharged once tolerating oral feeding and clinically randomization, patients were assigned to either group I,
free to return at day 10 for laboratory investigations and including 30 patients who was subjected to traditional
pelvi-abdominal U/S. LC using clip applier, or be compared with group II,
including 30 patients who was subjected to clipless cho-
Statistical Analysis
lecystectomy using harmonic scalpel. No statistically
The statistical analysis of data was done by using Excel significant difference was found in age, sex, and associ-
program for figures and Statistical Package for the Social ated comorbidities between both groups (Table 1).
World Journal of Laparoscopic Surgery, January-April 2017;10(1):17-21 19