Amna Shahab, Dileep Kumar, Muhammad Aqil Razzaq.
Compare the frequency of billiary leakage in patients undergoing clipped and clipless laparoscopic cholecystectomy.
Pak J Med Health Sci Jan ;13(4):1299-301.

Aim : To compare the frequency of billiary leakage after clipped and clip-less laparoscopic cholecystectomy in patients with cholecystitis. Study Design: Randomized control trial Place and Duration of Study : Department of Surgeries , Central Park Teaching Hospital Lahore and Jinnah Postgraduate Medical Centre Karachi from 1st October 2018 to 31 st March 2019. Methods: One hundred and fifty patients of both genders with ages 20 to 65 years were included. All the patients were equally divided in to two groups. Group I contains 75 patients and received conventional clipped laparoscopic cholecystectomy and in Group II clip-less harmonic scalpel was used with ultrasonic shear. Frequency of billiary leakage was examined between both groups at post-operative 7th day. Results: In Group I 42(56%) patients were females and 33 (44%) were males with mean age 40.11±11.95 years. In Group II 45(60%) patients were females while 30 (40%) were males with mean age 41.05±10.55 years. Billiary leakage was found in 39(26%) patients (29 in Group I, 10 in Group II). There was significant difference observed between two groups in term of billiary leakage (p=0.005). Conclusion: Clip-less harmonic scalpel method had low frequency of billiary leakage as compared to clipped laparoscopic cholecystectomy.

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