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7-CAN CYSTIC ARTERY CAUTERIZATION BE SAFELY PRACTICED IN LAPAROSCOPIC CHOLECYSTECTOMY?

Falih M Ali --- Safwan A Tahasam --- Adnan Y Al-Adab

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2009 Volume: 15 Issue: 2 Pages: 45-48
Publisher: Basrah University جامعة البصرة

Abstract

This study aimed to evaluate the safety and efficacy of cystic artery cauterization inlaparoscopic cholecystectomy (Lap.Chole.) and to outline possible complications and limitationsthat might arise from adoption of such approach.Cauterization of the cystic artery was adopted as the principal mean of securing the cysticartery in the course of standard lap.chole. The technique was applied on 46 cases oflaparoscopic cholecystectomy. Patients with adhesions in the triangle of Calot and/or very shortcystic arteries were excluded from the study. All patients were followed up for 2-3 weeks.We didn't get any serious complication in form of: major bile duct injury, right hepatic arteryinjury, post operative hematoma.Mean operative time was 35 minutes. Out of the 46 patients who had cystic artery cauterizationwe had the following complications: one patient developed intra-operative bleeding from thecystic artery in the course of its skeletonization which was controlled by prompt clipping, anotherpatient developed rather severe bleeding from a torn cystic artery and we converted him toopen cholecystectomy.Forty one patients were females (age range 18-48 years) and 5 were males (age range 33-49years). Complications occurred exclusively in females.Apart from conversion due to other causes, the incidence rate of conversion due to bleedingfrom cystic artery during clipping and cauterization was 1.5%, 2% respectively.

Keywords

CAN CYSTIC ARTERY CAUTERIZATION BE SAFELY PRACTICED IN LAPAROSCOPIC CHOLECYSTECTOMY?