Background: Laparoscopic cholecystectomy is the gold standard treatment of gallstones. The ultrasonically acti- vated scalpel (Harmonic scalpel, Ethicon) may be used as the sole instrument for both gallbladder dissection and section of the cystic artery and duct with no need of further ligatures. Methods: In a series of 40 consecutive patients, laparo- scopic cholecystectomy was performed with the Harmonic scalpel. In 8 patients, an additional cystic duct ligature with clips was performed because of the large size of the duct (5 cases of associated common bile duct stones, 1 of acute cholecystitis, and 2 of gallbladder empyema). There were 31 females and 9 males. Indications were 27 sim- ple gallstones, associated in 5 cases with common bile duct stones; 12 acute cases of cholecystitis; and 2 cases of gallbladder empyema. Associated procedures were performed in 11 cases. Results: The mean operative time was 62 minutes. Intraop- erative cholangiography was performed in 5 cases and common bile duct exploration in 3. A drain was left in 17 patients. No conversions were necessary. No patients developed postoperative complications, and the mean postoperative hospital stay was 2.1 days. Conclusions: Laparoscopic cholecystectomy performed with an ultrasonically activated scalpel is feasible and effective. The advantages are represented by using a unique instrument both for dissection of the gallbladder and division of the artery and duct. Furthermore, because of the minimal thermal dispersion, the use of the Harmonic scalpel reduces the risk of injuries. The main limit of the procedure is represented by the cystic duct size: if more than 5mm in diameter an additional ligature is necessary.
Laparoscopic cholecystectomy using harmonic: not only clipless / Gelmini, Roberta; Andreotti, Alessia; Franzoni, Chiara; Quaranta, Nicola; Saviano, Massimo. - In: JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS. - ISSN 1086-8089. - STAMPA. - 11 (2)(2007), pp. S61-S61. ((Intervento presentato al convegno SLS Annual Meeting 2007 tenutosi a LAS VEGAS USA nel APRIL 18-22, 2007.
|Data di pubblicazione:||2007|
|Titolo:||Laparoscopic cholecystectomy using harmonic: not only clipless|
|Autore/i:||Gelmini, Roberta; Andreotti, Alessia; Franzoni, Chiara; Quaranta, Nicola; Saviano, Massimo|
|Rivista:||JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS|
|Titolo del libro:||SAGES 2007 ANNUAL MEETING|
|Citazione:||Laparoscopic cholecystectomy using harmonic: not only clipless / Gelmini, Roberta; Andreotti, Alessia; Franzoni, Chiara; Quaranta, Nicola; Saviano, Massimo. - In: JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS. - ISSN 1086-8089. - STAMPA. - 11 (2)(2007), pp. S61-S61. ((Intervento presentato al convegno SLS Annual Meeting 2007 tenutosi a LAS VEGAS USA nel APRIL 18-22, 2007.|
|Tipologia||Abstract in Rivista|
File in questo prodotto:
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris