POLYMERIC LOCKING CLIPS (HEM-O-LOC) VERSUS METALLIC CLIPS FOR CONTROL OF DILATED CYSTIC DUCT DURING LAPAROSCOPIC CHOLECYSTECTOMY .

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Surgery Hepatobiliary Pancreatic Unit, Faculty of Medicine, Alexandria University

2 Hepatobiliary-Pancreatic (HBP) Surgical Unit, Department of Surgery, Faculty of Medicine, University of Alexandria

3 Department of Experimental and Clinical Surgery, Medical Research Institute, Alexandria University

Abstract

INTRODUCTION
Gallbladder (GB) stones is a popular condition which is affecting the human beings. Laparoscopic cholecystectomy (LC) is considered the gold standard in the treatment of symptomatic gallbladder stones. The primary cause of vascular and bile duct damage during laparoscopic cholecystectomy is misidentification of the anatomical components. The following three features characterize critical View of Safety (CVS) presented by Strasberg, This view: (1) the hepatocystic triangle's fibrous and fatty tissue has been cleared away; (2) there are only two tubular structures visible entering the gallbladder's base; and (3) the lower third of the gallbladder has separated from the liver to reveal the cystic plate. After achievement of (CVS),The cystic duct and cystic artery are clipped and divided with great care. Sometimes, surgeons face some difficult situations during the performance of an LC. This includes anatomic anomalies, such as a short cystic duct, and pathological problems, such as frozen Calot’s triangle, or a dilated cystic duct, which is defined as 4mm or more in its diameter. During LC, it is essential to adequately close the cystic duct to avoid leakage of bile from the cystic stump into the abdominal cavity.

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ALEXMED ePosters
Volume 6, Issue 4
September 2024
Pages 25-26

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