Volume : 8, Issue : 3, March - 2019

COMPARATIVE STUDY ON SUTURE LIGATION VS CLIP LIGATION OF CYSTIC DUCT IN LAPAROSCOPIC CHOLECYSTECTOMY

Dr. S. Selva Sankar, Dr. S. Selva Kumar, Dr. P. Balaji

Abstract :

Laparoscopic cholecystectomy (LC) has become the gold standard for the management of symptomatic gallstones disease. In the last decades, the number of cholecystectomies has increased worldwide. Cholelithiasis and its consequences are the main cause of surgical entry into the peritoneal cavity. In laparoscopic cholecystectomy (LC), cystic duct and cystic artery are normally secured with Titanium clips. Intra corporeal ligation, extracorporeal knotting and Harmonic scalpel application are other options. We studied the efficacy and safety of suturing with silk as compared to clip application for cystic duct and artery ligation separately. We observed that both techniques were safe and less time consuming, but silk ligation has been proven to be more secure than clip application.