Hydro-Jet-assisted laparoscopic cholecystectomy: A prospective randomized clinical study

Background. A new dissection technique with high-pressure water stream (Hydro-Jet) has recently been applied for selective dissection during various surgical procedures. The aim of this study was to compare Hydro-Jet with the conventional technique for laparoscopic cholecystectomy. Methods. Eighty p...

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Bibliographic Details
Published in:Surgery 2003-06, Vol.133 (6), p.635-640
Main Authors: Shekarriz, Hodjat, Shekarriz, Bijan, Kujath, Peter, Eckmann, Christian, Bürk, Conny, Comman, Andreas, Bruch, Hans-Peter
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Cholecystectomy, Laparoscopic - adverse effects
Cholecystectomy, Laparoscopic - economics
Cholecystectomy, Laparoscopic - methods
Female
Health Care Costs
Humans
Liver, biliary tract, pancreas, portal circulation, spleen
Male
Medical sciences
Middle Aged
Postoperative Complications
Prospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Time Factors
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Summary:Background. A new dissection technique with high-pressure water stream (Hydro-Jet) has recently been applied for selective dissection during various surgical procedures. The aim of this study was to compare Hydro-Jet with the conventional technique for laparoscopic cholecystectomy. Methods. Eighty patients were randomized to undergo laparoscopic cholecystectomy with standard (n = 40) or Hydro-Jet-assisted (n = 40) dissection techniques. The rates of intraoperative complications, including blood loss and injury to the adjacent organs, were compared between the groups. The versatility of this technique and the features of surgical dissection were also evaluated and compared. Results. Laparoscopic cholecystectomy was successfully completed in all subjects. The mean operative times were 78 minutes (range, 52-120 minutes) and 81 minutes (range, 45-135 minutes) for Hydro-Jet versus conventional dissection, respectively (P = not significant). Complications included gallbladder perforation in 15% and 30% (P
ISSN:0039-6060
1532-7361
DOI:10.1067/msy.2003.155