Anatomical footprint for safe laparoscopic cholecystectomy without using any energy source: a modified technique

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Patient Safety

Background:

• Laparoscopic cholecystectomy is the standard for gallstone treatment but carries risks of injury from energy sources like electrosurgery.
• Minimizing surgical complications is crucial despite the widespread adoption of laparoscopic techniques.

Purpose of the Study:

• To evaluate the safety and feasibility of performing laparoscopic cholecystectomy without employing any energy sources.
• To explore the use of avascular anatomical planes to reduce operative risks.

Main Methods:

• 83 patients undergoing laparoscopic cholecystectomy were enrolled after providing informed consent.
• The procedure was conducted without the use of any energy sources, relying on anatomical dissection.
• Ethical approval and adherence to Good Clinical Practice (GCP) guidelines were maintained.

Main Results:

• All 83 patients completed the laparoscopic cholecystectomy without energy sources.
• No biliary, vascular, or visceral injuries occurred during the procedures.
• Patients remained hemodynamically stable with no conversions or mortality, and a short hospital stay of 8-16 hours.

Conclusions:

• Laparoscopic cholecystectomy can be safely performed without energy sources by meticulously following anatomical planes.
• This technique offers a viable method to reduce iatrogenic injuries associated with energy device use.