A Comparative Study between the efficacy of Coagulation and Clip Ligation of the Cystic Artery during Laparoscopic Cholecystectomy

Abstract

Background:Cholelithiasis is an important disease with common presentation in surgical practice and requires cholecystectomy. The treatment of cystic artery following cholecystectomy is an important which can be achieved by coagulation, clip ligation and the use of ultra devices. This study was mainly undertaken to compare the Coagulation and Clip Ligation of the cystic artery.Material and Methods:Between January 2018 and December 2019 a randomized controlled trial was performed in the General Surgery department of a medical college in South India. The patients were divided into two equal groups of 60 patients each where the first group had undergone cystic artery cauterization with bipolar diathermy and the other group had undergone laparoscopic cholecystectomy with cystic artery clip ligation using titanium clips. The operative time, closure time, intra and post operative bleeding, duration of hospital stay and complications were compared between the two groups.Results:Most of the patients in this study belonged to the 41 – 50 years age group and most of them were females. The mean operative time, closure time, intra and post operative haemorrhage were lesser in a clip ligation group than coagulation group. There was no statistically significant difference in the duration of hospital stay and complications were observed in the coagulation group only.Conclusion:The authors conclude that clip ligation was superior compared to the coagulation of the cystic artery during cholecystectomy.