HARMONIC SCALPEL ASSISTED LAPAROSCOPIC CHOLECYSTECTOMY VS MONOPOLAR ASSISTED LAPAROSCOPIC CHOLECYSTECTOMY STUDY IN A TERTIARY CARE INSTITUTE AMRAVATI

Dr Rahul Hantodkar, Dr Yogendra P Chidrawar

Abstract


 Background : Laparoscopic cholecystectomy (LC) is the standard of care for Gall Stone diseases. Conventionally monopolar energy source is used for dissection of cystic artery and duct and dissection of Gall Bladder from GB fossa. There are high risk of thermal injury and biliary complications, more visceral and solid organ injury due to frequent exchange of instruments. All these factors lead to increased operating time and complications. The use of harmonic assisted laparoscopic cholecystectomy has decreased the operating time and complications. The objective of this study was to compare Harmonic assisted Laparoscopic cholecystectomy with conventional monopolar energy.

Methods: This prospective study was carried out on 70 patients which were randomly assigned to either group. Total 35 patients were present in conventional monopolar assisted LC and 35 patients in Harmonic assisted LC.

Results:  This study reveals that in harmonic assisted Laparoscopic cholecystectomy time taken for surgery is less, minimal thermal dispersion of energy, reduced incidence of bleeding and GB perforation compare to conventional monopolar energy.

Conclusions: Harmonic Assisted Laparoscopic Cholecystectomy advantage over Conventional Monopolar Assisted Laparoscopic Cholecystectomy with respect to operating time, postoperative pain, and perioperative complications. Thus its use should be advocated where Facilities are available.


Keywords


harmonic Scalpel Assisted Laparoscopic Cholecystectomy (HLC), Conventional Laparoscopic Cholecystectomy (CLC), Monopolar Devices

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