An audit of cystic duct closure in laparoscopic cholecystectomies.
Surg Endosc
; 20(6): 875-7, 2006 Jun.
Article
en En
| MEDLINE
| ID: mdl-16738973
BACKGROUND: Cystic duct leak is an infrequent but potentially serious complication of laparoscopic cholecystectomy. The aims of this audit were to assess the efficacy of locking absorbable clips for closing the cystic duct and to compare the results with those for simple clips used previously. METHODS: The records for all laparoscopic cholecystectomies performed in one hospital over a 5-year period were reviewed. The results were compared using Fisher's exact test. RESULTS: Of 518 laparoscopic cholecystectomies attempted, 24 were excluded. There was no difference in age or sex ratio between the two groups. Cystic duct leaks were identified either on endoscopic retrograde choloangio pancreatography or at laparotomy. No cystic duct leak occurred in any of the 344 locking clip cases, as compared with 3 leaks in the 146 (2%) simple clip cases (p < 0.03). CONCLUSION: Locking clips are a safe and effective method for cystic duct closure. They are associated with a reduced cystic duct leak rate, as compared with that for simple clips.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Instrumentos Quirúrgicos
/
Colecistectomía Laparoscópica
/
Implantes Absorbibles
/
Conducto Cístico
/
Auditoría Médica
Tipo de estudio:
Etiology_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Surg Endosc
Asunto de la revista:
DIAGNOSTICO POR IMAGEM
/
GASTROENTEROLOGIA
Año:
2006
Tipo del documento:
Article
País de afiliación:
Reino Unido
Pais de publicación:
Alemania