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[Laparoscopic cholecystectomy using argon bistoury].

G A Farello1, A Cerofolini, G Bergamaschi

  • 1Divisione di Chirurgia Generale, Ospedale Civile di Schio, Vicenza.

Il Giornale Di Chirurgia
|April 1, 1992
PubMed
Summary
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The Argon beam coagulator offers faster dissection during laparoscopic cholecystectomy compared to monopolar electrocoagulator and Holmium laser. This method showed minimal complications, making it a potentially efficient surgical tool.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Technology
  • Gastrointestinal Surgery

Background:

  • Laparoscopic cholecystectomy is a common surgical procedure.
  • Various energy devices are used for gallbladder dissection.

Purpose of the Study:

  • To compare the efficacy and safety of Argon beam coagulator, monopolar electrocoagulator, and Holmium laser in laparoscopic cholecystectomy.
  • To evaluate the operative time and complication rates associated with each dissection method.

Main Methods:

  • A total of 92 patients underwent laparoscopic cholecystectomy.
  • Gallbladder dissection was performed using three distinct energy sources: Argon beam coagulator (n=40), monopolar electrocoagulator (n=25), and Holmium laser (n=27).
  • Operative times and complications were recorded and compared.

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Main Results:

  • The Argon beam coagulator demonstrated a shorter average procedure time, being 2.7 minutes faster than the monopolar electrocoagulator and 5.4 minutes faster than the Holmium laser.
  • Only one complication, pneumomediastinum, was associated with the use of the Argon beam coagulator.
  • No significant differences in complication rates were highlighted between the groups, apart from the single event with Argon beam.

Conclusions:

  • The Argon beam coagulator is an effective and potentially time-saving device for gallbladder dissection in laparoscopic cholecystectomy.
  • Its use is associated with a low complication rate, comparable to other energy sources.
  • Further research may explore its broader application in laparoscopic procedures.