Introduction: Since 1987, laparoscopic cholecystectomy has been regarded as the gold standard treatment for cholelithiasis. Surgical clips, harmonic scalpel and ligature, or bipolar cautery can be used to control the cystic artery during this treatment. In this paper, we examine the use of bipolar electrocautery vs clip ligation to control the cystic artery during laparoscopic cholecystectomy.
Method: This is a clinical comparative study that was carried out in total of 60 patients who underwent laparoscopic cholecystectomy conducted for 3 year duration (2016–2019). The patients were monitored for postoperative hemorrhage and bile leak, as well as differences in hospital stay length and postoperative sequelae.
Results: In our study, the cystic artery was controlled using bipolar electrocautery in 30 patients (group B) and by surgical clips in 30 patients (group A). In both groups, the length of stay in the hospital and the duration of surgery were similar. In Group A, no incidences of intraoperative hemorrhage or bile leak were documented, but Group B had two cases of bile leak and four cases of intraoperative cystic artery bleed.
Conclusion: We conclude that, especially in developing countries, bipolar diathermy and clip application are equally effective strategies for hemostatic control of the cystic artery during laparoscopic cholecystectomy.
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