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Comparison of postoperative liver function between different dissection techniques during laparoscopic
Tagleb S Mazahreh1, Abdelwahab J Aleshawi2, Nabil A Al-Zoubi1
1Department of General Surgery & Urology, Faculty of Medicine, Jordan University of Science & Technology, Irbid 22110, Jordan.
Aim:
In this study, we investigated and compared the effect of different types of dissector (Maryland vs Hook) on changes in liver function tests (LFTs) after laparoscopic cholecystectomy.
Patients & Methods:
The enrolled patients were divided into two groups. Group A patients underwent dissection by Maryland dissecting forceps, group B by Hook dissecting instrument. LFTs were measured preoperatively and at 1 day and 1 week, postoperatively.
Results:
For both Maryland and Hook dissection, the 1-day postoperative values for total bilirubin, alanine aminotransferase and aspartate aminotransferase were significantly higher than the preoperative values. Also, there were no statistical differences between Hook and Maryland.
Conclusion:
The elevation of LFTs seems to be attributed to other factors.
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