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Blunt dissection method using HiQ+ soft coagulation system for laparoscopic cholecystectomy in acute cholecystitis
Hironari Kawai1, Nobuo Omura1, Kaito Yamasawa1
1Department of Surgery, Nishisaitama-chuo National Hospital, Tokorozawa, Japan.
Asian Journal of Endoscopic Surgery
|June 20, 2024
Summary
Blunt dissection with soft coagulation improves surgical views during laparoscopic cholecystectomy for acute cholecystitis. This technique enhances safety by keeping the surgical field dry and minimizing bleeding.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
Background:
- Acute cholecystitis presents challenges in laparoscopic cholecystectomy due to tissue fragility and bleeding.
- Inadequate surgical views increase the risk of bile duct or vascular injury.
Purpose of the Study:
- To evaluate the feasibility and usefulness of blunt dissection combined with soft coagulation.
- To improve surgical visualization and hemostasis during laparoscopic cholecystectomy for acute cholecystitis.
Main Methods:
- Laparoscopic cholecystectomy was performed on two patients using blunt dissection with soft coagulation.
- The technique involved exposing the subserosa and dissecting the gallbladder bed while maintaining hemostasis.
Main Results:
- The combined technique provided a sufficiently clear surgical view for safe dissection.
- Blood loss was minimal, less than 20 mL in both cases.
Conclusions:
- Blunt dissection with soft coagulation is a potentially useful and feasible method.
- This approach can maintain a dry surgical field and reduce blood loss in acute cholecystitis cases.
