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Polymer versus Titanium Clips in Laparoscopic Cholecystectomy.

Anna Malysz Oyola1, John Miller1, Colston Edgerton1

  • 1Department of General Surgery Novant Health New Hanover Regional Medical Center Wilmington, NC.

Surgical Technology International
|November 16, 2023
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Summary

Polymer clips in laparoscopic cholecystectomy offer comparable clinical outcomes to titanium clips but at a significantly lower cost. This study found similar patient recovery and hospital stay, making polymer clips a cost-effective option.

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Area of Science:

  • Laparoscopic surgery
  • Surgical materials science

Background:

  • Surgical clips are essential for ligating the cystic duct and artery during laparoscopic cholecystectomy.
  • Titanium and polymer clips are the predominant types used.
  • Polymer clips offer potential cost savings and design advantages.

Purpose of the Study:

  • To compare the clinical outcomes of polymer versus titanium clips in laparoscopic cholecystectomy.
  • To evaluate cost-effectiveness and complication rates between the two clip types.

Main Methods:

  • A retrospective review of 100 consecutive laparoscopic cholecystectomies (50 polymer, 50 titanium clips).
  • Outcomes assessed included bile leak, bleeding, need for additional procedures, hospital stay, and cost.
  • Procedures were performed by residents under a single surgeon's supervision.

Main Results:

  • Polymer clips had a significantly higher misfire rate (17 vs. 2, p<.001).
  • Despite higher initial costs due to extra cartridges, total clip costs were lower for polymer clips ($30.32) than titanium clips ($139.17).
  • Comparable clinical outcomes were observed, with no significant difference in bile leaks, bleeding, or hospital length of stay.

Conclusions:

  • Polymer and titanium clips demonstrate comparable clinical outcomes in laparoscopic cholecystectomy.
  • Polymer clips present a more cost-effective option for this surgical procedure.