Laparascopic cholecystectomy: cystic duct occlusion with titanium clips or ligature? A prospective randomized study.

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dc.contributor.authorSeenu, Vuthaluruen_US
dc.contributor.authorShridhar, Dhronamrajuen_US
dc.contributor.authorBal, Chandrashekaren_US
dc.contributor.authorParshad, Rajinderen_US
dc.contributor.authorKumar, Arvinden_US
dc.date.accessioned2004-10-26en_US
dc.date.accessioned2009-06-04T04:00:00Z
dc.date.available2004-10-26en_US
dc.date.available2009-06-04T04:00:00Z
dc.date.issued2004-10-26en_US
dc.description.abstractDuring laparoscopic cholecystectomy (LC), cystic duct occlusion can be done with titanium clips or laparoscopically tied knots. However, till date, there is no randomized, controlled study reported in the literature that has prospectively compared the outcome using either of these methods. In the present study, 105 patients who were to undergo LC were randomly assigned to two groups. Group I comprised patients undergoing cystic duct occlusion with clips while group II comprised those undergoing cystic duct occlusion with knots. Our aim was to compare the postoperative outcome in both the cases. The incidence of overall bile leak following LC was 4 out of 105 (3.8%) while the leak rate following cystic duct occlusion with clips was 2 out 52 (3.9%), and that following ligature was 2 out of 53 (3.8%). The procedure using ligature took slightly longer time than that using clips. There was no significant difference in the postoperative outcome in either group. The use of ligature is a feasible, safe and cost-effective alternative to the use of titanium clips for cystic duct occlusion during LC.en_US
dc.description.affiliationDepartment of Surgical Disciplines, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029.en_US
dc.identifier.citationSeenu V, Shridhar D, Bal C, Parshad R, Kumar A. Laparascopic cholecystectomy: cystic duct occlusion with titanium clips or ligature? A prospective randomized study. Tropical Gastroenterology. 2004 Oct-Dec; 25(4): 180-3en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/124638
dc.language.isoengen_US
dc.source.urihttps://www.tropicalgastro.comen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshCholecystectomy, Laparoscopic --methodsen_US
dc.subject.meshCholelithiasis --surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLigationen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshSurgical Instrumentsen_US
dc.subject.meshTitaniumen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleLaparascopic cholecystectomy: cystic duct occlusion with titanium clips or ligature? A prospective randomized study.en_US
dc.typeClinical Trialen_US
dc.typeJournal Articleen_US
dc.typeRandomized Controlled Trialen_US
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