Olivarez FE, Blas AR, Saucedo MEM, Sánchez MCA, Domínguez RJA

Language: Spanish
References: 14
Page: 161-166
PDF size: 648.18 Kb.

ABSTRACT

Introduction: during laparoscopic cholecystectomy, the need for scope interchange with mini-instruments constitutes an operative challenge that may extend the duration of the procedure. Objective: to compare operative time between suture ligation and metal clips during laparoscopic cholecystectomy. Material and methods: this analytical, comparative, retrospective, cross-sectional study included 331 patients undergoing laparoscopic cholecystectomy for acute or chronic cholecystitis. Categorical variables were analyzed using χ² or Fisher’s exact test, and continuous variables with the Mann-Whitney U test. Results: patients were divided into two groups: metal clip ligation (n = 165) and non-absorbable suture ligation (n = 166). Significant differences were observed in antibiotic use (88.5% vs 24.7%, p ‹ 0.001), postoperative drain placement (23.6% vs 10.8%, p = 0.002), and hospital stay (median 2 vs 1 day, p ‹ 0.000, 95%CI 0.74-1.41). No significant difference was found in operative time (median 65 vs. 60 minutes, p = 0.138). Conclusion: suture ligation is a safe and effective alternative to metal clips, with similar operative times and no increase in short-term complications.

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