A COMPARATIVE STUDY BETWEEN CYSTIC DUCT CLIPPING AND LIGATION IN LAPAROSCOPIC CHOLECYSTECTOMY

Abstract

Background: Laparoscopic cholecystectomy (LC) nowadays is the standard treatment for gallstone disease. In laparoscopic cholecystectomy cystic duct and artery are usually secured by titanium clips and there are other methods for securing the cystic duct and artery like intracorporeal ligation or harmonic scalpel. the application of clips is shown to have some complications. Objective: to compare the suture ligation versus clipping for securing cystic duct and artery in laparoscopic cholecystectomy in terms of efficacy and safety and operation time. Patients and methods: A Prospective study included (60) patients who were admitted to El-Sayed Galal Hospital to undergo elective laparoscopic cholecystectomy for symptomatic gall bladder stones. Patients were divided into groups (A, B). Results: Mean operative time in group A was 50.87 min. and in group B was 55.73 min. There was a mean difference in operation time of about 5 min increased in group B with a p-value (0.141) that was statistically insignificant. Conclusion: Suture ligation of cystic duct and artery by vicryl 2/0 is a safe, effective and cost-effective alternative to clips, especially in developing countries and non-functioning of clip applicators and has an advantage in case of the wide cystic duct.