Clipless Cholecystectomy in Adult and Pediatric Populations: Harmonic versus LigaSure Sealing

Background: Laparoscopic cholecystectomy is the commonest surgical intervention in adults and pediatrics. The controversy still exists about the ideal sealing system. Aim of the work: The study aimed to evaluate the Harmonic scalpel and the LigaSure in laparoscopic clipless cholecystectomy in adul...

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Autores principales:	Sayed Ahmed Elhady Abdelmonem, Mohammed Eid
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	clipless cholecystecomy ligasure harmonic adults pediatrics Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/144ba245505c4b6db6f148aeaccf6d02
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spelling	oai:doaj.org-article:144ba245505c4b6db6f148aeaccf6d022021-12-02T14:10:53ZClipless Cholecystectomy in Adult and Pediatric Populations: Harmonic versus LigaSure Sealing2636-41742682-378010.21608/ijma.2021.39729.1159https://doaj.org/article/144ba245505c4b6db6f148aeaccf6d022021-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_144321_d91dc419f7e78a2decfa0b63be12d1e8.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Laparoscopic cholecystectomy is the commonest surgical intervention in adults and pediatrics. The controversy still exists about the ideal sealing system. Aim of the work: The study aimed to evaluate the Harmonic scalpel and the LigaSure in laparoscopic clipless cholecystectomy in adults and pediatrics. Patients and methods: 60 adults and 30 pediatric patients were selected from our institution and scheduled for total clipless laparoscopic cholecystectomy, either by Harmonic or LigaSure sealing system. Preoperatively, all patients were evaluated by history taking, clinical examination, Lab investigation, and ultrasound examination. Demographic, operative, and postoperative data were documented. Results: Both groups of sealing systems were comparable regarding demographics, operative time, blood loss, postoperative pain, and complications. In adult patients, 6.7% had complications [bile leak and common bile duct injury] in the harmonic group. In contrast, in the LigaSure group, 10.0% had complications [pneumonia in 3.3% and common bile duct injury with bile leak in 6.7%]. On the other hand, no bile leak or common bile duct injury was reported in the pediatric age group. The majority of pediatrics had chronic hemolytic anemia. Conversion to open in pediatrics was reported in 2 patients in harmonic and none in the LigaSure group. Surgical site infection was reported in 1 patient in LigaSure, while pneumonia was reported in 2 patients in the harmonic group. Conclusion: LigaSure and Harmonic sealing systems are effective and safe in total clipless cholecystectomy in adult and pediatric populations.Sayed Ahmed Elhady AbdelmonemMohammed EidAl-Azhar University, Faculty of Medicine (Damietta)articleclipless cholecystecomyligasureharmonicadultspediatricsMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 1, Pp 1025-1032 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	clipless cholecystecomy ligasure harmonic adults pediatrics Medicine (General) R5-920
spellingShingle	clipless cholecystecomy ligasure harmonic adults pediatrics Medicine (General) R5-920 Sayed Ahmed Elhady Abdelmonem Mohammed Eid Clipless Cholecystectomy in Adult and Pediatric Populations: Harmonic versus LigaSure Sealing
description	Background: Laparoscopic cholecystectomy is the commonest surgical intervention in adults and pediatrics. The controversy still exists about the ideal sealing system. Aim of the work: The study aimed to evaluate the Harmonic scalpel and the LigaSure in laparoscopic clipless cholecystectomy in adults and pediatrics. Patients and methods: 60 adults and 30 pediatric patients were selected from our institution and scheduled for total clipless laparoscopic cholecystectomy, either by Harmonic or LigaSure sealing system. Preoperatively, all patients were evaluated by history taking, clinical examination, Lab investigation, and ultrasound examination. Demographic, operative, and postoperative data were documented. Results: Both groups of sealing systems were comparable regarding demographics, operative time, blood loss, postoperative pain, and complications. In adult patients, 6.7% had complications [bile leak and common bile duct injury] in the harmonic group. In contrast, in the LigaSure group, 10.0% had complications [pneumonia in 3.3% and common bile duct injury with bile leak in 6.7%]. On the other hand, no bile leak or common bile duct injury was reported in the pediatric age group. The majority of pediatrics had chronic hemolytic anemia. Conversion to open in pediatrics was reported in 2 patients in harmonic and none in the LigaSure group. Surgical site infection was reported in 1 patient in LigaSure, while pneumonia was reported in 2 patients in the harmonic group. Conclusion: LigaSure and Harmonic sealing systems are effective and safe in total clipless cholecystectomy in adult and pediatric populations.
format	article
author	Sayed Ahmed Elhady Abdelmonem Mohammed Eid
author_facet	Sayed Ahmed Elhady Abdelmonem Mohammed Eid
author_sort	Sayed Ahmed Elhady Abdelmonem
title	Clipless Cholecystectomy in Adult and Pediatric Populations: Harmonic versus LigaSure Sealing
title_short	Clipless Cholecystectomy in Adult and Pediatric Populations: Harmonic versus LigaSure Sealing
title_full	Clipless Cholecystectomy in Adult and Pediatric Populations: Harmonic versus LigaSure Sealing
title_fullStr	Clipless Cholecystectomy in Adult and Pediatric Populations: Harmonic versus LigaSure Sealing
title_full_unstemmed	Clipless Cholecystectomy in Adult and Pediatric Populations: Harmonic versus LigaSure Sealing
title_sort	clipless cholecystectomy in adult and pediatric populations: harmonic versus ligasure sealing
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/144ba245505c4b6db6f148aeaccf6d02
work_keys_str_mv	AT sayedahmedelhadyabdelmonem cliplesscholecystectomyinadultandpediatricpopulationsharmonicversusligasuresealing AT mohammedeid cliplesscholecystectomyinadultandpediatricpopulationsharmonicversusligasuresealing
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Clipless Cholecystectomy in Adult and Pediatric Populations: Harmonic versus LigaSure Sealing

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