Thanadeth Vongjarukorn, MD, Tanyanan Jamikorn, MD, Khwannara Ketwong, MD, Isariya Jongekkasit, MD, Pornpeera Jitpratoom, MD, Angkoon Anuwong, MD. Police General Hospital
Background: The non-absorbable polymer clip offers a solution to the disadvantage of traditional metallic clip. Due to its metallic property, it is not only expensive but also causes artifacts on imaging studies and often migrates into CBD. This study compares the traditional standard metallic clip with Hem-O-Lock used in laparoscopic cholecystectomy (LC) in regard of the safety and efficacy.?
Material and methods: This study includes 40 patients who underwent LC implementing metallic clip (MC) and 40 patients implementing Hem-O-Lock clips(H0).?Both clips were applied to cystic duct and artery, then the gallbladder was dissected from the liver bed by diathermy. The intraoperative and postoperative parameters were collected including duration of the operation and complications.?
Results: The median operative time was not statistically different between the MC and the HC group (89.33 vs 86.17 minutes, respectively; p=0.96) with no significantly less incidence of bile spillage (9 vs. 8, p=0.956). No statistically significant difference was found in the incidence of postoperative complications between both groups (1 vs. 2, p=0.97). No postoperative bile leakage was encountered in both groups.
Conclusion: Hem-O-Lock clip provides a complete hemobiliary stasis and a secure cystic duct and artery control. Its cost effectiveness is also attractive while provides efficacy equivalent to that of the standard metallic clip.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87046
Program Number: P698
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster