Abstract

  Cholecystectomy is the commonest elective general surgical operation performed in the UK. The incidence of gallstones is increasing and the waiting time for cholecystectomy in the UK is also rising [1]. As a consequence of this and the changing demography of the patients the operation is becoming more challenging. The incidence of complications following laparoscopic cholecystectomy is higher in those with a high BMI, male sex, and those with a thick walled gallbladder such as associated with an empyema [2].
  The majority of cholecystectomies are carried out laparoscopically and this allows the patients to recover more quickly and remain in hospital usually for less than 24 hours. The advantages to the patient, the hospital and the wider health economy are therefore obvious but there is a need to minimise complications as any complication will impact on the advantages that are accrued by successful laparoscopic surgery.

References

1. Thorlby R., et al. “NHS performance and waiting times - Priorities for the next government”.
2. Radunovic M., et al. “Complications of Laparoscopic Cholecystectomy: Our Experience from a Retrospective Analysis”. Open Access Macedonian Journal of Medical Sciences 4.4 (2016): 641-646.
3. McMahon AJ., et al. “Bile duct injury and bile leakage in laparoscopic cholecystectomy”. British Journal of Surgery 82 (1995): 307-13.
4. Massoumi H., et al. “Bile leak after laparoscopic cholecystectomy”. Journal of Clinical Gastroenterology 41 (2007): 301-305.
5. Strasberg SM., et al. “An analysis of the problem of biliary injury during laparoscopic cholecystectomy”. Journal of the American College of Surgeons 180 (1995): 101-125.
6. Kandil T., et al. “Comparative study between clipless laparoscopic cholecystectomy by harmonic scalpel versus conventional method: a prospective randomized study”. Journal of Gastrointestinal Surgery 14 (2010): 323-328.
7. Bessa SS., et al. “Clipless laparoscopic cholecystectomy by ultrasonic dissection”. Journal of Laparoendoscopic and Advanced Surgical Techniques A 18 (2008): 593-598.
8. Matsui Y., et al. “Absence of cystic duct leakage using locking clips in 1017 cases of laparoscopic cholecystectomy”. American Surgery 78 (2012): 1228-1231.
9. Yang CP., et al. “Efficacy of electrocoagulation in sealing the cystic artery and cystic duct occluded with only one absorbable clip during laparoscopic cholecystectomy”. Journal of Laparoendoscopic and Advanced Surgical Techniques A 24 (2014): 72-76.
10. Gurusamy KS., et al. “Methods of cystic duct occlusion during laparoscopic cholecystectomy”. Cochrane Database System Review (2010): CD006807.
11. van Dijk AH., et al. “Systematic review of cystic duct closure techniques in relation to prevention of bile duct leakage after laparoscopic cholecystectomy”. World Journal of Gastrointestinal Surgery 10 (2018): 57-69.

Citation

Citation: Simon R Bramhall.,et al. “Closure of the Cystic Duct at Laparoscopic Cholecystectomyr”. Acta Scientific Gastrointestinal Disorders 3.2 (2020): 34-35.

Copyright

Copyright: © 2020 Simon R Bramhall.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.