A Study to Evaluate the Role of Monopolar Electocautery in Laparoscopic Cholecystectomy

Abstract

Introduction: Laparoscopic cholecystectomy is one of the most common operation done today. Classically, the cystic artery is controlled by applying simple metal clips. Recently ultrasonic devices have been used successfully to achieve closure and division of the cystic duct and artery but their cost remains a concern. Study aimed to evaluate the cystic artery division during laparoscopic cholecystectomy and to compare postoperative complications, cost and time taken for surgery. Material and methods: This study was conducted in the Department of Surgery Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan from 1st August 2014 to 31st July 2018 for a period of four years. Total of 200 patients were equally distributed among two groups. Distribution was conducted to nullify different confounding factors. All patients with symptomatic gallstone disease scheduled for laparoscopic cholecystectomy were eligible for the study. All the patients who underwent laparoscopic cholecystectomy during this period were divided into two groups named Group A and Group B. In Group A, cystic artery was clipped and divided by using ligaclips. Result: Our study clearly demonstrates that the monopolar electrocautery provides complete and reliable hemostasis in most patients undergoing laparoscopic cholecystectomies. In all patients who underwent division of the cystic artery by electrocautery, there were no clinically apparent immediate or remote postoperative bleeding Conclusion: The monopolar electrocautery is a safe, efficient and practical instrument to use during laparoscopic cholecystectomies