Evaluation of Safety and Efficacy of Harmonic Scalpel During Laparoscopic Cholecystectomy

Salem, Mohamad Ali; Fahmi, Khaled Safwat; Sarhan, Abdelrahman Mohamed Amin; Habib, Fady Mehaney; Sallam, Ahmed M.

doi:10.21608/zumj.2020.46297.1970

Evaluation of Safety and Efficacy of Harmonic Scalpel During Laparoscopic Cholecystectomy

Document Type : Original Article

Authors

¹ Department of General Surgery, Al Mergeb University, Libyaز

² Department of General Surgery, Zagazig University hospitals, Zagazig, Egypt

³ Department of surgery, Faculty of medicine, Zagazig university, Zagazig, Egypt

⁴ Department of General Surgery, Zagazig University hospitals, Zagazig, Egypt.

10.21608/zumj.2020.46297.1970

Abstract

Background: Laparoscopic cholecystectomy is the “gold standard” in the treatment of symptomatic gallbladder lithiasis. Nevertheless, some pitfalls are associated with the use of the monopolar hook, such as the risk of thermal injuries and biliary complications. By contrast, the ultrasonically activated scalpel, ie, Harmonic (Ethicon Endo Surgery INC- Johnson & Johnson Medical SPA, Somerville, NJ) in laparoscopic cholecystectomies has been increasingly used for dissection of the gallbladder and for division of vessels and the cystic duct, because it reduces the risk of thermal injuries. This study aimed achieving safe closure and prevention of post-operative complications by using harmonic Scalpel. Patients and methods: This Clinical trial study was carried out in Zagazig university hospital .It included 24 patients with uncomplicated gallstone diseases who attended to general surgery department outpatients clinic. All patients included in this study were diagnosed to be uncomplicated gallstone disease patients. Patients were operated within 6 months duration in Zagazig University Hospital, during the period from Feb 2020 to Aug 2020. All patients were subjected to Demographic data taking, complete clinical examination, Laboratory investigations and Abdominal ultrasound. Results: Neither major complications regarding the gallbladder perforation nor bile duct injuries were detected, there were no post-operative complications, However, the mean operative time was significantly shorter. Conclusion: Harmonic scalpel in general is an efficient tool for complete hemobiliary sealing with high safety profile.

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