Comparison of laparoscopic cholecystectomy using harmonic scalpel with conventional laparoscopic cholecystectomy in patients of symptomatic gallstones.

  • Muhammad Asif DHQ, MBDIN.
  • Muhammad Faheem Anwer CMH Lahore Medical College, Lahore.
  • Muhammad Hasan Anwaar Heartlands Hospitals University Hospitals Birmingham Nhs Trust.
  • Shahbaz Ahmad PMC, Faisalabad.
  • Muhammad Kamran DHQ Hospital, Chiniot.
  • Saddaqat Hayat Allied hospital, Faisalabad.
Keywords: Harmonic Scalpel, Symptomatic Gallstones, Laparoscopic Cholecystectomy, Mean Operative, Time, Intraoperative Blood Loss

Abstract

Objectives: To compare the laparoscopic cholecystectomy using harmonic scalpel with conventional laparoscopic cholecystectomy in patients of symptomatic gallstones in terms of mean operative time and mean intra-operative blood loss. Study Design: Randomized Control trial. Setting: Department of Surgical at Allied Hospital Faisalabad. Period: 6 months Oct 2017 to Mar 2018. Material & Methods: Eighty (80) patients (forty in one group) divided randomly into A (harmonic scalpel group) and B (conventional) group, done under general anesthesia. Total time of operation and blood loss during procedure was noted. Results: Our study showed that mean operative time in Harmonic group (A) was 38.07+5.28 minutes and in Conventional group (B) 63.75+7.62 minutes, (p-value = 0.0001), blood loss in Harmonic group (A) 32.93+8.86ml and 55.53+8.96ml in Conventional group (B), (p-value = 0.0001). Conclusion: It is concluded that the laparoscopic cholecystectomy using harmonic scalpel is significantly better when compared with conventional laparoscopic cholecystectomy in patients of symptomatic gallstones in terms of mean operative time and mean intra-operative blood loss.

Author Biographies

Muhammad Asif, DHQ, MBDIN.

MBBS, FCPS (Surgery)

Medical Officer

Muhammad Faheem Anwer, CMH Lahore Medical College, Lahore.

MBBS, FCPS, FACS

Associate Professor Surgery

 

Muhammad Hasan Anwaar, Heartlands Hospitals University Hospitals Birmingham Nhs Trust.

BSc, MBBS, FCPS (Surgery)

Registrar International Training Fellow Colorectal Surgery

Shahbaz Ahmad, PMC, Faisalabad.

MBBS, FCPS

Assistant Professor Surgery

Muhammad Kamran, DHQ Hospital, Chiniot.

MBBS, FCPS (Surgery)

Medical Officer

 

 

Saddaqat Hayat, Allied hospital, Faisalabad.

MBBS, MRCS, FCPS

Senior Registrar

 

Published
2020-10-10