Comparative study between clipless (CL) laparoscopic cholecystectomy using harmonal scalpel vs traditional cholecystectomy (TM) using electrocautery and titanium clips

Aims: to compare the various laparoscopic techniques that include clipless laparoscopic cholecystectomy using hormonal scalpel (hs) vs traditional method [tm] laparoscopic cholecystectomy by using titanium clips. methods: this prospective study was carried out in surgical department,nishtar hospital,multan from january 2013 to june 2013. a total of 100 patients were included in this study. patients were divided into two equal groups. results: hs provides a shorter operative duration than tm (33.21+9.6 vs 51.7+13.70) respectively and less rate of conversion to open cholecystectomy which is significantly less in hs (29+ 30 vs 47.7+31 p=0.001). conclusion: hs was found to be best suitable and save alternative to standard clipping of cystic duct and cystic artery. © 2016,lahore medical and dental college. all rights reserved.