Comparative Study of Laparoscopic Cholecystectomy Techniques: Traditional Clipping versus Harmonic Scalpel Closure

Abstract

Background: Laparoscopic cholecystectomy (LC), a widely used surgical procedure to remove the gallbladder, can vary in how the cystic duct and artery are closed. This study compared the safety and effectiveness of LC performed using the standard method (TM) with LC performed with harmonic scalpel assistance (HLC). Methods: A prospective comparison research with 30 patients in each group (LC and HLC) of 60 patients scheduled for LC was conducted. The length of the hospital stays, the number of antibiotics used, the number of surgical problems, postoperative bile leakage, and the length of the operation were all recorded. Suitable tests were used in the statistical analysis. Results: When compared to LC, HLC showed considerably shorter operating times (35.1 4.079 vs. 47.933 8.026 minutes, p0.0001) and less frequent need for antibiotics (3.267 0.691 vs. 4.367 0.809 days, p0.0001). Surgery-related complications were comparable between groups (LC 10% vs. HLC 6.67%, p=0.549). Postoperative bile leakage in HLC (0%) were trending lower than LC (6.67%, p=0.157). A shorter hospital stay was the result of HLC (3.1 + 0.547 vs. 4.4 + 0.855 days, p0.0001). Conclusion: In comparison to LC, HLC offers benefits such as faster recovery times, less need for antibiotics, and shorter hospital stays. Although there were no appreciable differences in postoperative problems in HLC, there was a tendency towards less intraoperative complications. These results back up the use of HLC as a secure and effective cholecystectomy option. It is need to do additional study with larger cohorts and longer follow-up.