Using High-Frequency Electric Welding Method During Laparoscopic Cholecystectomy By Reason Of Acute Cholecystitis Complicated By Paravesical Infiltrate
DOI:
https://doi.org/10.11603/2414-4533.2016.4.7181Abstract
In 20 patients with acute calculous cholecystitis complicated with paravesical infiltrate when performing laparoscopic cholecystectomy using high-frequency electric welding method was used for tissue dissection and hemostasis. Dissection from using this method leads to welding of all small vessels and bleeding from inflammation tissue was significantly reduced. High-frequency electric welding method in cases of bleeding opposed to monopolar coagulation allows hemostasis without permanent drying operation field. Also, this method enables hemostasis, both small capillaries and vessels with a larger diameter, including cystic artery. As a result of the use of HF-electric welding was able to facilitate tissue dissection, to improve identification of structures Kahlo triangle area and significantly reduce time operation.
References
Bile duct injury during cholecystectomy and survival in Medicare beneficiaries / D. R. Flum, A. Cheadle, C. Prela [et al.] // JAMA. – 2003. – Vol. 290, № 16. – R. 2168–2173.
Referral pattern and timing of repair are risk factors for complications after reconstructive surgery for bile duct injury / P. R. de Reuver, I. Grossmann, O. R. Busch [et al.] // Ann Surg. – 2007. – Vol. 245, № 5. – R. 763–770.
Bile duct injuries during open and laparoscopic chole¬ystectomy in the laparoscopic era: alarming trends / J. Karvonen, P. Salminen, J. M. Grönroos // Surg Endosc. – 2011. – Vol. 25, № 9. – P. 2906–2910.
Buturovic S. Iatrogenic injury to the common bile duct / S. Buturovic // Med Arch. – 2014. – Vol. 68, № 4. – R. 291–293.
Nychytaylo M. E. Povrezhdenyya zhelchnykh protokov pry kholetsystéktomyy y ykh posledstvyya / M. E. Nychytaylo, A. V. Skums. – K. : Makkom, 2006. – 344 s.
Reconstruction of major bile duct injuries after laparoscopic cholecystectomy / K. Holte, L. Bardram, A. Wettergren, A. Rasmussen // Dan. Med. Bul. – 2010. – Vol. 57, № 2. – R. 413 – 415.
Blumgart`s Surgery of the liver, biliary tract and pancreas / L. H. Blumgart, W. R. Jarnagin, J. Belghiti [et al.]. – Philadelphia : Elsevier saunders. – 5th edition, 2012. – 2021 p.
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