Use of a unidirectional barbed suture in gallbladder stump closure during laparoscopic subtotal cholecystectomy

Publication Date

2000

Document Type

Research

Abstract

Laparoscopic cholecystectomy is currently the gold standard in managing symptomatic gallbladder diseases. But in the setting of acute cholecystitis, achievement of the critical view safety may be obscured by the inflammation and adhesions. The incidence of bile duct injury in laparoscopic cholecystectomy is 0.3% to 1.0%. In line with this, surgeons have devised a way to decrease incidence of conversion to open cholecystectomy, while similarly maintaining a decreased risk of major bile duct injury, by doing laparoscopic subtotal cholecystectomy (LSC). Between January 2013 and September 2014, a total of 8 patients predominantly female (M:F=3:5) underwent laparoscopic subtotal cholecystectomy with the use of VLoc for the management of gallbladder stump. No intraoperative and post-operative complication were observed. Use of unidirectional barbed suture (V-Loc 180) is a safe option in the management of gallbladder stump in laparoscopic subtotal cholecystectomy.

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