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2007, Number 4

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Rev Mex Cir Endoscop 2007; 8 (4)

Traditional laparoscopic cholecystectomy with multipurpose clamp

Dávila ÁF, Heredia JNM, Sandoval RJ, Dávila ÁU, Domínguez RVH, Lemus AJ

Language: Spanish
References: 20
Page: 164-171
PDF size: 217.06 Kb.


ABSTRACT

Background: A new laparoscopic instrument appears (clamp multipurpose) that it simplifies to conventional laparoscopic instruments, since with a single clamp multipurpose, can replace 12 instruments or functions to perform a cholecystectomy.
Aims: Compare advantages of the multipurpose endoscopic clamp with traditional laparoscopic instruments.
Material and methods: Since January of 1996 to January of 1997, 50 patients were operated of cholecystectomy using the multipurpose laparoscopic clamp (Group A). They were compared in retrospective form with a group of 50 operated patients of laparoscopic cholecystectomy with traditional instruments (Group B). In the group «A» was used ties instead of staples and cannula of irrigation-suction, stapler, knot pusher dissector and monopolar hook, were replaced by the clamp multipurpose. Surgical time and costs were analyzed.
Results: The surgical time in the Group «A» was of 67 minutes in average against 66 minutes in Group «B». The multifunctionality of the clamp does possible to do without some laparoscopic instruments and staples of use in laparoscopic surgery, resulting in costs reduction. There was statistically no significant difference between the surgical time in both groups.
The clamp multipurpose can perform a laparoscopic cholecystectomy in the same surgical time as when is performed with traditional laparoscopic instruments, but allows to reduce costs.


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