Suture Ligation Versus Clipping of Cystic Duct and Artery During Laparoscopic Cholecystectomy

Assiut University

Status: Not yet enrolling

Conditions: Laparoscopic Cholecystectomy

Treatments: Procedure: clipping or ligation of the cystic duct and the cystic artery in Laparoscopic cholecystectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT05555810

lclc

Details and patient eligibility

About

The investigators will compare between clipping and ligation of the cystic duct and the cystic artery in Laparoscopic cholecystectomy. This is the main question that will be discussed in the review.

Full description

cholecystectomy is the second most commonly intra-abdominal operation worldwide after Appendectomy. In standard surgery ,there are increase incidence of wound infection,bleeding , discomfort and hospital stay so laparoscopic surgery has become the best choice for treatment of symptomatic and uncomplicated Gall bladder stones and hernia repair.

Once laparoscopic cholecystectomy emerged controversies persist with regard to the best method to ligate the cystic duct and artery. They may be ligated by separate and multiple ligatures by absorbable suture material, or using absorbable clips.

Suture ligation of cystic duct appeared to be more cost effective.On the other hand, the application of clips shown to have some drawbacks such as dislodgement and bile leakage and increase liability of long term clip migration which resulted in biliary stone formation or bile duct stenosis and also they are expensive .Another complication of clips that they may ulcerated through the duodenum.

Ligation takes more time than applying a clip, and it needs well training, but it is feasible, cost- effective and safe alternative method to secure cystic duct and artery in laparoscopic cholecystectomy.

The Aim of this study is to compare the two different methods; Tie versus clipping, for securing cystic duct and artery in laparoscopic cholecystectomy. In terms of efficacy and safety, and also the difference in the times of operations in both methods

Enrollment: 50 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with cholecystitis admitted at Assuit University Hospital and planed for lap. cholecystectomy the period of the study

Exclusion criteria

• Any case not candidate for laparoscopic cholecystectomy and we must do it by open technique .

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

50 participants in 2 patient groups

Suture ligation of cystic duct and artery

Active Comparator group

Description:

The investigators will ligate cystic duct and artery by traditional sutures during laparoscopic cholecystectomy .

Treatment:

Procedure: clipping or ligation of the cystic duct and the cystic artery in Laparoscopic cholecystectomy

Application of clips

Active Comparator group

Description:

The investigators will put a clips on the cystic duct and artery during laparoscopic cholecystectomy.

Treatment:

Procedure: clipping or ligation of the cystic duct and the cystic artery in Laparoscopic cholecystectomy