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. 2014 Sep-Oct;99(5):571-6.
doi: 10.9738/INTSURG-D-14-00035.1.

Use of stapling devices for safe cholecystectomy in acute cholecystitis

Mehmet Odabasi  1 , M A Tolga Muftuoglu, Erkan Ozkan, Cengiz Eris, Mehmet Kamil Yildiz, Emre Gunay, Haci Hasan Abuoglu, Kemal Tekesin, Sami Akbulut
Affiliations

Use of stapling devices for safe cholecystectomy in acute cholecystitis

Mehmet Odabasi et al. Int Surg. 2014 Sep-Oct.

Abstract

Many techniques are described for the ligation of a difficult cystic duct (CD). The aim of this study is to assess the effectiveness and safety of stapling of a difficult CD in acute cholecystitis using Endo-GIA. From January 2008 to June 2012, 1441 patients with cholelithiasis underwent laparoscopic cholecystectomy (LC) at the Department of General Surgery, Haydarpasa Numune Education and Research Hospital. Of these, 19 (0.62%) were identified as having a difficult CD and were ligated using an Endo-GIA stapler. All patients were successfully treated with a laparoscopic approach. The length of hospital stay was 3.4 days. There were umbilical wound infections in 4 patients (21%). The length of follow-up ranged from 1.0 to 50.4 months. In conclusion, Endo-GIA is a safe and easy treatment method for patients with a dilated and difficult CD. The cystic artery should be isolated and ligated if possible before firing the Endo-GIA stapler. If isolation and stapling are not possible, fibrin sealant can be applied to avoid bleeding. The vascular Endo-GIA can be applied in a large CD, but for acute cholecystitis with an edematous CD, the Endo-GIA roticulator 4.8 or 3.5 stapler is preferred.

Keywords: Acute cholecystitis; Cholecystectomy; Endo-GIA; Stapler.

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Figures

Fig. 1
Fig. 1
Application of Endo-GIA roticulator 45-4.8 for acute cholecystitis.
Fig. 2
Fig. 2
Stapler lines (A) and gallbladder (B) after cholecystectomy.
See this image and copyright information in PMC

References

    1. Cushieri A, Dubous F, Mouiel J, Mouret P, Becker H, Buess G, et al. The European experience with laparoscopic cholecystectomy. Am J Surg. 1991;161(3):385–387. - PubMed
    1. NIH Consensus Conference. Gallstones and laparoscopic cholecystectomy. JAMA. 1993;269(8):1018–1024. - PubMed
    1. Chowbey PK, Sharma A, Khullar R, Mann V, Baijal M, Vashistha A. Laparoscopic subtotal cholecystectomy: a review of 56 procedures. J Laparoendosc Adv Surg Tech A. 2000;10(1):31–34. - PubMed
    1. Koo KP, Thirlby RC. Laparoscopic cholecystectomy in acute cholecystitis: what is the optimal time for operation? Arch Surg. 1996;131(5):540–545. - PubMed
    1. Pessaux P, Tuech JJ, Rouge C, Duplessis R, Cervi C, Arnaud JP. Laparoscopic cholecystectomy in acute cholecystitis: a prospective comparative study in patients with acute vs chronic cholecystitis. Surg Endosc. 2000;14(4):358–361. - PubMed

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