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The aim of this study was to compare between the safety and efficacy of the harmonic shears and the commonly used clip technique in achieving safe closure and division of the cystic duct in the laparoscopic cholecystectomy in day surgery setting
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| clipless | laparoscopic cholecystectomy performed by harmonic scalpel with closure and division of the cystic duct only by the device |
| |
| traditional | laparoscopic cholecystectomy performed by harmonic scalpel with closure of the cystic duct only by titanium clip |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Harmonic scalpel | Procedure | The Cholecystectomy is performed using only Harmonic Scalpel to mobilize the Cholecystis and to close the cystic duct and the cystic artery |
|
| Measure | Description | Time Frame |
|---|---|---|
| effectiveness closure of the cystic duct | the effectiveness closure of the cystic duct is assessed on the presence or not of cystic duct bile leak | at 1 months |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative complication | the presence of postoperative complication is investigated | 1 month |
| efficacy and safety of the use of harmonic scalpel performing cholecystectomy | the efficacy and safety of the use of harmonic scalpel performing cholecystectomy is assessed by evaluating the operative time, the presence of major or minor intraoperative complication and the postoperative complication. |
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Inclusion Criteria:
Exclusion Criteria:
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patients with gallstone undergoing cholecystectomy in day surgery setting
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oneday - Day Surgery Unit - Azienda Ospedaliera Sant'Andrea - University Sapienza of Rome | Rome | Italy | 00189 | Italy |
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| ID | Term |
|---|---|
| D002769 | Cholelithiasis |
| ID | Term |
|---|---|
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
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| Traditional | Procedure | The cholecystectomy is performed using Harmonic Scalpel to mobilize the cholecystis and the cystic duct and the cystic artery are closed by titanium clips |
|
| 24 hours |