Evaluation of the safety of using harmonic scalpel during laparoscopic cholecystectomy in children: A preliminary report.

ABSTRACT:

Background and objective

In spite of being one of the most common surgical procedures performed in adults, laparoscopic cholecystectomy (LC) is relatively uncommon in the pediatric age group. Most surgeons prefer to dissect the cystic duct using a monopolar electrosurgical hook and occlude it with simple metal clips. Although the safety of using the ultrasonically-activated shears, e.g., harmonic scalpel for dissection of the gallbladder is confirmed in many studies, its efficacy in the closure of the cystic artery and duct in adults is still debatable. Furthermore, very few reports studied its safety in children during LC. The aim of our work is to study the safety and efficacy of ultrasonic shears in controlling the cystic duct and artery during LC in children.

Materials and m

SUBMITTER: Aboelela A 

PROVIDER: S-EPMC9464866 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature