The outcome of laparoscopic cholecystectomy by ultrasonic dissection.

2.50
Hdl Handle:
http://hdl.handle.net/10147/238711
Title:
The outcome of laparoscopic cholecystectomy by ultrasonic dissection.
Authors:
Sasi, Walid
Affiliation:
Department of Surgery, Our Lady of Lourdes Hospital Drogheda, Ireland.
Citation:
The outcome of laparoscopic cholecystectomy by ultrasonic dissection. 2010, 19:70-8 Surg Technol Int
Journal:
Surgical technology international
Issue Date:
Apr-2010
URI:
http://hdl.handle.net/10147/238711
PubMed ID:
20437348
Abstract:
Electrocautery remains the main energy form used for dissection in laparoscopic cholecystectomy. However, due to its many risks the search continues for safer and more efficient forms of energy. This chapter assesses the outcomes of dissection using ultrasonic energy as compared to monopolar electrocautery during laparoscopic cholecystectomy. Studies included are trials of prospectively randomized adult patients with symptomatic gallstone disease subject either ultrasonic or monopolar electrocautery dissection during laparoscopic cholecystectomy. Seven trials were included in this review, with a total patient number of 695 randomized to two dissection methods: 340 in the electrocautery group and 355 in the ultrasonic group. Ultrasonic dissection is shown to be superior to monopolar electrocautery in laparoscopic cholecystectomy. Disadvantages include a difficult maneuvering technique and overall cost. Appropriate training programs may be implemented to overcome the first disadvantage, and it might be argued that given the combined cost of factors associated with standard clip and cautery technique, cost issues may be outweighed by the benefits of ultrasonic dissection. However, this necessitates further cost-benefit analysis.
Item Type:
Article
Language:
en
MeSH:
Adult; Cholecystectomy, Laparoscopic; Electrocoagulation; Humans; Postoperative Complications; Ultrasonic Surgical Procedures
ISSN:
1090-3941

Full metadata record

DC FieldValue Language
dc.contributor.authorSasi, Waliden_GB
dc.date.accessioned2012-08-15T08:37:57Z-
dc.date.available2012-08-15T08:37:57Z-
dc.date.issued2010-04-
dc.identifier.citationThe outcome of laparoscopic cholecystectomy by ultrasonic dissection. 2010, 19:70-8 Surg Technol Inten_GB
dc.identifier.issn1090-3941-
dc.identifier.pmid20437348-
dc.identifier.urihttp://hdl.handle.net/10147/238711-
dc.description.abstractElectrocautery remains the main energy form used for dissection in laparoscopic cholecystectomy. However, due to its many risks the search continues for safer and more efficient forms of energy. This chapter assesses the outcomes of dissection using ultrasonic energy as compared to monopolar electrocautery during laparoscopic cholecystectomy. Studies included are trials of prospectively randomized adult patients with symptomatic gallstone disease subject either ultrasonic or monopolar electrocautery dissection during laparoscopic cholecystectomy. Seven trials were included in this review, with a total patient number of 695 randomized to two dissection methods: 340 in the electrocautery group and 355 in the ultrasonic group. Ultrasonic dissection is shown to be superior to monopolar electrocautery in laparoscopic cholecystectomy. Disadvantages include a difficult maneuvering technique and overall cost. Appropriate training programs may be implemented to overcome the first disadvantage, and it might be argued that given the combined cost of factors associated with standard clip and cautery technique, cost issues may be outweighed by the benefits of ultrasonic dissection. However, this necessitates further cost-benefit analysis.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to Surgical technology internationalen_GB
dc.subject.meshAdult-
dc.subject.meshCholecystectomy, Laparoscopic-
dc.subject.meshElectrocoagulation-
dc.subject.meshHumans-
dc.subject.meshPostoperative Complications-
dc.subject.meshUltrasonic Surgical Procedures-
dc.titleThe outcome of laparoscopic cholecystectomy by ultrasonic dissection.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Surgery, Our Lady of Lourdes Hospital Drogheda, Ireland.en_GB
dc.identifier.journalSurgical technology internationalen_GB
dc.description.provinceLeinsteren
All Items in Lenus,the Irish health repository are protected by copyright, with all rights reserved, unless otherwise indicated.