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An audit of cystic duct closure in laparoscopic cholecystectomies

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Abstract

Background

Cystic duct leak is an infrequent but potentially serious complication of laparoscopic cholecystectomy. The aims of this audit were to assess the efficacy of locking absorbable clips for closing the cystic duct and to compare the results with those for simple clips used previously.

Methods

The records for all laparoscopic cholecystectomies performed in one hospital over a 5-year period were reviewed. The results were compared using Fisher’s exact test.

Results

Of 518 laparoscopic cholecystectomies attempted, 24 were excluded. There was no difference in age or sex ratio between the two groups. Cystic duct leaks were identified either on endoscopic retrograde choloangio pancreatography or at laparotomy. No cystic duct leak occurred in any of the 344 locking clip cases, as compared with 3 leaks in the 146 (2%) simple clip cases (p < 0.03).

Conclusion

Locking clips are a safe and effective method for cystic duct closure. They are associated with a reduced cystic duct leak rate, as compared with that for simple clips.

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Authors and Affiliations

  1. Department of Surgery, Royal Cornwall Hospital, Treliske TR1 3LJ, Cornwall, United Kingdom

    A. Rohatgi & A.L. Widdison

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  1. A. Rohatgi
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  2. A.L. Widdison
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Accepted for presentation at AESGBI, Hull, 18 November 2002, World Congress of Digestive Surgery, Hong Kong, December 2002

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Rohatgi, A., Widdison, A. An audit of cystic duct closure in laparoscopic cholecystectomies. Surg Endosc 20, 875–877 (2006). https://doi.org/10.1007/s00464-004-2253-9

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  • DOI: https://doi.org/10.1007/s00464-004-2253-9

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