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Suturing Method Using LapraTy® Clips Is Effective for Intraoperative Bile Leaks in Laparoscopic Hepatectomy.
Masahiro Shiihara1, Mitsugi Shimoda1, Ryoichi Miyamoto1
1Tokyo Medical University, Ibaraki Medical Center, Department of Gastroenterological Surgery, Tokyo, Japan.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|December 22, 2025
Summary
This study presents a rapid LapraTy® suture clip technique for accidental bile leakage (ABL) during laparoscopic surgery. The method involves suturing with the clip and omental coverage, offering a tension-adjustable solution for fragile tissues.
Area of Science:
- Laparoscopic surgery
- Surgical techniques
- Gastrointestinal surgery
Background:
- Managing intraoperative complications like bile leakage during laparoscopic surgery requires swift and precise interventions.
- The LapraTy® suture clip, an absorbable device, simplifies closure by eliminating the need for ligation.
Purpose of the Study:
- To introduce and evaluate a versatile suturing technique using the LapraTy® suture clip for intraoperative accidental bile leakage (ABL).
- To demonstrate the efficacy of this technique in managing fragile tissues and preventing complications.
Main Methods:
- A two-step technique involving suturing the bile duct defect with a LapraTy® suture clip.
- Covering the sutured area with omentum to reinforce closure and prevent leakage.
Main Results:
- The LapraTy® suture clip technique allows for rapid suturing without excessive tension, suitable for delicate structures like bile ducts.
- This method may prevent Glissonial stenosis and reduce the risk of postoperative bile leakage through omental coverage.
Conclusions:
- The LapraTy® suture clip with omental covering provides an effective closure method for ABL after laparoscopic hepatectomy.
- The clip's design enables adjustable tightening for various tissue types, proving useful in challenging surgical scenarios.
