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WJOLS

Clipped vs Clipless Laparoscopic Cholecystectomy using the Ultra sonically Activated (Harmonic) Scalpel
that the harmonic scalpel was associated with shorter 4. Westervelt J. Clipless cholecystectomy: broadening the role
operative times, fewer overnight hospital stay, and lower of the harmonic scalpel. JSLS 2004 Jul-Sep;8(3):283-285.
pain scores. 5. Bessa SS, Al-Fayoumi TA, Katri KM, Awad AT. Clipless
laparoscopic cholecystectomy by ultrasonic dissection.
J Laparoendosc Adv Surg Tech A 2008 Aug;18(4):593-598.
CONCLUSION
6. Ramos AC, Ramos MG, Galvao Neto MP, et al. Total clipless
The harmonic scalpel is as safe and effective as the com- cholecystectomy by means of harmonic sealing. Arq Bras Cir
monly used clip and cautery technique in achieving Dig 2015;28(1):53-56.
safe closure and division of the cystic duct in the LC. 7. Hüscher CG, Lirici MM, Di Paola M, Crafa F, Napolitano C,
Mereu A, Recher A, Corradi A, Amini M. Laparoscopic cho-
Further, it provides a superior alternative to the currently lecystectomy by ultrasonic dissection without cystic duct and
used high-frequency monopolar technology in terms of artery ligature. Surg Endosc 2003 Mar;17(3):442-451.
shorter operative time and lower incidence of gallbladder 8. Hüscher CG, Lirici MM, Anastasi A, Sansonetti A, Amini M.
perforation. Laparoscopic cholecystectomy by harmonic dissection. Surg
Endosc 1999 Dec;13(12):1256-1257.
9. Khan JS, Qureshi U, Fatima Z, Hassan H, Khan MM, Iqbal M.
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