Background And Aim: To examine the impact of day-care laparoscopic cholecystectomy (LC) with ultrasonic scissors dissection versus diathermy hook dissection method in a randomized setting.
Methods: From April 2012 to September 2014, a total of 169 elective day-care patients were randomized to undergo either laparoscopic cholecystectomy with ultrasonic scissors using fundus-first approach (n = 88) or diathermy hook dissection starting from the triangle of Calot (n = 79). Main measures of outcome were operative time, same-day discharge and intraoperative complications. Secondary outcome measures were postoperative pain (numeric rating scale), postoperative nausea and vomiting (PONV), readmissions and 30-day morbidity.
Results: Median operative time was similar in the ultrasonic dissection and diathermy hook dissection groups (45 vs 45 min, p = 0.95). Same-day discharge was possible in 77 patients (87 %) in the ultrasonic dissection group and in 69 patients (87 %) in the diathermy group, p = 0.98. Intraoperative gallbladder perforations, mean intraoperative bleeding, postoperative pain and PONV at 1, 2 and 4 h (p = 0.78) did not differ significantly between the study groups.
Conclusion: Day-care LC using either diathermy hook or ultrasonic dissection resulted in excellent same-day discharge in both groups (87 %). LC with ultrasonic dissection does not offer any clinical advantages compared to diathermy dissection.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00464-015-4691-y | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Comparing Thermal Damage Using Monopolar Hook Versus Harmonic Scalpel in Total Laparoscopic Hysterectomy; A Double-Blind Randomized Controlled Trial.
J Obstet Gynaecol India
October 2024
Department of Obstetrics and Gynecology, Weil Cornell Medical College of Cornell University, New York, NY USA.
Article Synopsis
- A clinical trial was conducted with 78 women undergoing total laparoscopic hysterectomy to compare the effects of two surgical devices: monopolar hook and harmonic scalpel.
- The primary focus was to measure the thermal damage to cervicovaginal tissues, finding that the monopolar device caused significantly more tissue damage in the right lateral cuff region.
- The harmonic scalpel resulted in less thermal injury, which is crucial for preventing complications, especially in overweight or obese patients.
3D visualization systems improve operator efficiency during difficult laparoscopic cholecystectomy: a retrospective blinded review of surgical videos.
ANZ J Surg
June 2024
Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.
Background: 3D visualization systems in laparoscopic surgery have been proposed to improve manual task handling compared to 2D, however, few studies have compared the intra-operative efficacy in laparoscopic cholecystectomy (LC). The aim of this study is to determine if there is a benefit in intra-operative efficiency when using a 3D visualization system in difficult LC compared to traditional 2D visualization systems.
Methods: Retrospective analysis of 'difficult' LCs (Grades 3 or 4) was completed.
Safety and Efficacy of Hook Diathermy in the Dissection of the Mesocolorectum During Laparoscopic-Assisted Pull-Through for Hirschsprung Disease in Low-Resource Settings.
J Laparoendosc Adv Surg Tech A
August 2024
Department of General Surgery, Alminia University, Minya, Egypt.
Surgical correction is the main line of treatment for the congenital disorder Hirschsprung's disease (HD). Laparoscopic techniques proved their safety and efficacy in previous studies. LigaSure™ is the gold standard for colorectal dissection.
View Article and Find Full Text PDFClinical Experience of a Smart Articulating Digital Device for Transanal Minimally Invasive Surgery.
Dis Colon Rectum
December 2023
UCD Centre for Precision Surgery, University College Dublin, Dublin, Ireland.
Background: The constrained access associated with transanal minimally invasive surgery has led surgeons to deploy robotic-assisted platforms to offset inherent maneuverability limitations and, perhaps, skills deficits.
Impact Of Innovation: A handheld, powered 5-mm lightweighted laparoendoscopic electromechanical digital device (HandX, HumanXtensions, Israel) with hardware and software components that convert surgical hand movements precisely to the instrument's articulating tip and enable robotic transanal minimally invasive surgery with full tip roticulation for hook diathermy and suturing.
Technology, Materials, And Methods: After bench and biomedical model training, HandX was used in 3 transanal minimally invasive surgery procedures (2 male patients and 1 female patient, mean age 66.
Impact of choledochotomy techniques during laparoscopic CBD exploration on short- and long-term clinical outcomes: Time to change concepts (a retrospective cohort study).
Int J Surg
November 2020
Department of General Surgery, Faculty of Medicine, Sohag University, Sohag, 82524, Egypt. Electronic address:
Article Synopsis
- The study investigates complications related to different choledochotomy techniques used during laparoscopic common bile duct exploration (LCBDE) in patients with choledocholithiasis.
- From March 2014 to February 2018, 85 patients underwent LCBDE using three techniques: scalpel/scissor, diathermy hook, and ultrasonic device, with no significant differences in short- or long-term complications among the groups.
- The authors suggest reconsidering the traditional avoidance of energy devices in biliary surgeries but note that more research with a larger sample size is necessary to validate their findings.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!