Continuous suture closure using a LapraTy® suture clips is an effective method for reconstruction of cystic duct stump after laparoscopic subtotal cholecystectomy.

ABSTRACT:

Objective

Recently, number of laparoscopic subtotal cholecystectomy (LSC) has been increasing.

Summary background data

LSC is suitable as a treatment as it can avoid intraoperative bile duct injury and bleeding for difficult laparoscopic cholecystectomy. On the other hand, improper handling of remnant of GB can lead to postoperative bile leakage.

Methods

Here, we report our positive experience utilizing new technique of continuous suture closure and omental covering using Lapra Ty® suture clips on the remnant of GB.

Results

From January 2016 to July 2021, we experienced 30 cases of LSC for LC patients who had difficulty securing critical view of safety (CVS). In six of the 30 cases, we repaired remnant of GB using continuous suture closure and omental covering

SUBMITTER: Shimoda M 

PROVIDER: S-EPMC10559765 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature