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Bipolar Electrocautery vs Clips for Cystic Artery during Laparoscopic Cholecystectomy
            use only short bursts of the bare minimum of energy required to   laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A
            maintain homeostasis.                                   2011;21(3):203–208. DOI: 10.1089/lap.2010.0455.
               The fact that this is a retrospective study means that there are     3.  Ayyaz M, Fatima T, Ahmed G. Arterial anatomy in Calot’s triangle as
            issues with incomplete and/or inconclusive data. The number of   viewed through the laparoscope. Ann K E Med Coll 2001;7:183–185.
                                                                    DOI: 10.7860/jcdr/2015/13089.6156.
            patients is likewise insufficient to draw any significant conclusions.     4.  Wasserberg N, Gal E, Fuko Z. Surgical clip found in duodenal ulcer
            Regardless, it should be emphasized that the cautious application   after laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan
            of electrocautery to regulate the cystic artery results in a shorter   Tech 2003;13(6):387–388. DOI: 10.1097/00129689-200312000-00008.
            operative time. In other words, in the hands of a trained professional,     5.  Strasberg SM. Avoidance of biliary injury during laparoscopic
            bipolar electrocautery is a safer alternative to surgical clips.  cholecystectomy. J Hepatobiliary Pancreat Surg 2002;9(5):543–547.
                                                                    DOI: 10.1007/s005340200071.
                                                                 6.  Mühe E. Long-term follow-up after laparoscopic cholecystectomy.
            conclusIon                                              Endoscopy 1992;24(9):754–758. DOI: 10.1055/s-2007-1009119.
            We conclude that bipolar diathermy and clip application are      7.  Larobina M, Nottle PD. Extrahepatic biliary anatomy at laparoscopic
            equally effective in hemostatic control of the cystic artery during   cholecystectomy: is aberrant anatomy important? ANZ J Surg
                                                                    2005;75(6):392–395. DOI: 10.1111/j.1445-2197.2005.03396.x.
            laparoscopic cholecystectomy, particularly in resource-constrained     8.  Hugh TB, Kelly MD, Li B. Laparoscopic anatomy of the cystic artery.
            settings where the harmonic scalpel raises concerns about cost and   Am J Surg 1992;163(6):593–595. DOI: 10.1016/0002-9610(92)90564-8.
            accessibility. To back up our findings, we will need to conduct more     9.  Das RS, Talukdar M, Shaan AR. Monopolar electrocautery vs surgical
            randomized control trials.                              clips in control of cystic artery in laparoscopic cholecystectomy:
                                                                    a comparative study. J Evol Med Den Sci 2016;5(33):1790–1793. DOI:
                                                                    10.14260/jemds/2016/422.
            clInIcAl sIgnIfIcAnce                                10.  Katri KM, Bessa SS, Elnagah GA, et al. Is monopolar electrocautery
            Use of bipolar diathermy is efficacious in terms of cost factor and   safe and effective for control of the cystic artery during laparoscopic
            affordability compared to harmonics and clips in developing   cholecystectomy. Laparoendosc Adv Surg Tech A 2012;22(6):557–560.
                                                                    DOI: 10.1089/lap.2011.0507.
            countries.                                           11.  Chauhan A, Gangji A, Singhal A. Control of cystic artery using
                                                                    monopolar electrocautery in laparoscopic cholecystectomy: our
                                                                    experience. Sch J Appl Med Sci 2014;2(4D):1381–1382.
            references                                           12.  Redwan AA. Single-working-instrument, double-trocar, clipless
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             76   World Journal of Laparoscopic Surgery, Volume 15 Issue 1 (January–April 2022)
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