Acta Scientific Gastrointestinal Disorders (ISSN: 2582-1091)

Short Communication Volume 3 Issue 2

Closure of the Cystic Duct at Laparoscopic Cholecystectomy

Simon R Bramhall1*, Moustafa M Mourad2 and Muhammad A Karim3

1County Hospital, Hereford, United Kingdom
2Worcester Royal Infirmary, Worcester, United Kingdom
3Walsall Manor Hospital, Walsall, United Kingdom

*Corresponding Author: Simon R Bramhall, Department of Surgery, The County Hospital, Hereford, United Kingdom.

Received: January 04, 2020; Published: January 29, 2020

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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.

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References

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  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.
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  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.
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Citation

Citation: Simon R Bramhall.,et al. “Closure of the Cystic Duct at Laparoscopic Cholecystectomyr”. Acta Scientific Gastrointestinal Disorders 3.2 (2020): 01-02.



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