Abstract
Aim of the study- we conducted this study to know which method is best,clip application or bipolar cautery, to secure haemostasis of cystic artery during laparoscopic cholecystectomy,
Methodology- a prospective comparative study was done on two groups of patients undergoing laparoscopic cholecystectomy1 where in cystic artery was clipped in group A and it was cauterized with bipolar device in group B. 50 patients were assigned to each group.
Results- in both the groups no one had postoperative bleeding. intraoperatively, in group A one patient needed reapplication of clip2 to cystic artery due to its slippage whereas in group B two patients had bleed from cystic artery after cauterization with bipolar device, which was subsequently controlled by clip application.
Conclusion-both clip application and bipolar cauterization are equally efficacious in gaining haemostasis of cystic artery during laparoscopic cholecystectomy.
Keywords- laparoscopic cholecystectomy, cystic artery, clips, bipolar cautery
References
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Corresponding Author
Dr Ballapalli Hariprasad
Assistant Professor of General Surgery
Narayana Medical College & Hospital, Chinthareddy Palem
Nellore, Andhra Pradesh
DOI: http://dx.doi.org/10.18535/jmscr/v3i10.62
