Ligating the cystic duct in laparoscopic cholecystectomy

Background: In laparoscopic cholecystectomy, bile leak from the cystic duct stump is a recognised postoperative complication. This could be due to dislodgement of the metal clips. Migration of the clip is an added problem. Methods: Since 1995, 70 patients were included in the study of intracorporeal...

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Bibliographic Details
Published in:The American journal of surgery 2000-06, Vol.179 (6), p.494-496
Main Author: Saha, Sisir Kumar
Format: Article
Language:English
Subjects:
Bile ducts
Biological and medical sciences
Cholecystectomy
Cholecystectomy, Laparoscopic - adverse effects
Cholecystectomy, Laparoscopic - methods
Cholelithiasis - surgery
Clips
Complications
Cystic Duct - surgery
Dyspepsia
Evaluation Studies as Topic
Female
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Laparoscopy
Ligation - methods
Liver, biliary tract, pancreas, portal circulation, spleen
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Morbidity
Osmosis
Other diseases. Semiology
Postoperative
Postoperative Complications - prevention & control
Prospective Studies
Risk reduction
Sensitivity and Specificity
Small intestine
Surgeons
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Treatment Outcome
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Description
Summary:Background: In laparoscopic cholecystectomy, bile leak from the cystic duct stump is a recognised postoperative complication. This could be due to dislodgement of the metal clips. Migration of the clip is an added problem. Methods: Since 1995, 70 patients were included in the study of intracorporeal cystic duct ligation in laparoscopic cholecystectomy. Construction of a ligature is a single handed procedure using a free end of the thread. It is quite different from the other two methods described in the literature. Results: There was not a single case of postoperative morbidity in these patients, but in a retrospective study, postoperative biliary dyspepsia with fatty food was evident in a few patients among those cases in which the liga-clips were applied to the cystic duct. Conclusion: The cystic duct ligation with absorbable thread should be a gold standard in laparoscopic cholecystectomy. It reduces the risk of postoperative morbidity.
ISSN:0002-9610
1879-1883
DOI:10.1016/S0002-9610(00)00391-3