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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.

Future Science OA
|April 8, 2020
PubMed
Summary

This study compared Maryland and Hook dissectors during laparoscopic cholecystectomy. Both methods showed similar temporary increases in liver function tests (LFTs) post-surgery, suggesting other factors influence LFT changes.

Keywords:
Hook dissectorMaryland dissectorbilirubinlaparoscopic cholecystectomyliver function tests

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Area of Science:

  • Surgical Innovation
  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic cholecystectomy is a common surgical procedure.
  • The choice of dissection instrument may influence postoperative outcomes.
  • Understanding the impact of dissectors on liver function is crucial for patient care.

Purpose of the Study:

  • To compare the effects of Maryland versus Hook dissectors on liver function tests (LFTs).
  • To evaluate changes in LFTs following laparoscopic cholecystectomy based on dissection technique.

Main Methods:

  • Patients were divided into two groups: Maryland dissection (Group A) and Hook dissection (Group B).
  • Liver function tests (total bilirubin, ALT, AST) were measured preoperatively and at 1 day and 1 week postoperatively.

Main Results:

  • Postoperative LFTs (total bilirubin, ALT, AST) were significantly elevated at 1 day compared to preoperative values for both dissection types.
  • No statistically significant differences in LFT changes were observed between the Maryland and Hook dissection groups.

Conclusions:

  • The type of dissector (Maryland vs. Hook) did not significantly impact the observed transient elevations in LFTs after laparoscopic cholecystectomy.
  • Postoperative LFT elevations are likely influenced by factors other than the specific dissection instrument used.