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Hydrodissection with adrenaline-lidocaine-saline solution in laparoscopic cholecystectomy.
K Caliskan1, T Z Nursal, S Yildirim
1Department of General Surgery, Teaching and Medical Research Hospital, Başkent University, Adana, Turkey. ken_caliskan@yahoo.com
Langenbeck'S Archives of Surgery
|May 9, 2006
Summary
Hydrodissection using a saline-adrenaline-lidocaine solution did not improve gallbladder dissection time or reduce perforation risk during laparoscopic cholecystectomy. This technique also did not impact bleeding or postoperative pain.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Laparoscopic cholecystectomy is a common procedure for gallstones.
- Hydrodissection is a technique explored to facilitate gallbladder dissection.
- The efficacy of injecting solutions into the gallbladder bed requires further investigation.
Purpose of the Study:
- To evaluate the impact of injecting a saline-adrenaline-lidocaine solution into the gallbladder bed.
- To assess effects on operative time, bleeding, gallbladder perforation, and postoperative pain.
Main Methods:
- 164 patients with cholelithiasis were randomized into two groups.
- Group 1 received hydrodissection with 40 ml saline-adrenaline-lidocaine solution.
- Group 2 underwent standard laparoscopic cholecystectomy without hydrodissection.
Main Results:
- No significant differences were observed in dissection time, liver bed bleeding, or gallbladder perforation rates.
- The incidence of gallbladder perforation and spillage of bile and stones did not differ.
- Postoperative pain and pain localization showed no significant variations between the groups.
Conclusions:
- Hydrodissection did not reduce gallbladder dissection time or the risk of perforation.
- The tested injection technique did not affect bleeding from the liver bed.
- Adrenaline and lidocaine injection did not alter postoperative pain or pain localization.