Metal Clips Versus Intracorporeal Ligation for Cystic Duct Occlusion in Laparoscopic Cholecystectomy

  • Osman Riaz Senior Registrar, Surgery Allied Hospital, Faisalabad
  • Muhammad Faizan Riaz Medical Officer, Surgery Riaz Hospital, Faisalabad
  • Amna Rehan Assistant Professor, Radiology Faisalabad Institute of Cardiology, Faisalabad
Keywords: Laparoscopic Cholecystectomy, Intracorporeal ligation, Cholelithiasis


Objectives: To compare frequency of bile leakage and mean time taken in laparoscopic cholecystectomy by using metal clips versus intracorporeal ligation with chromic catgut. Subject and Method: It was a randomized controlled study, conducted in department of surgery, Allied hospital Faisalabad. Study was carried from January 2015 to December 2015. A total of 240 patients were included in the study after fulfilling the inclusion criteria and were divided randomly in two groups. The outcome measures were operative time and post-operative complication in terms of bile duct injury. Results: A total of 94 females and 26 males got laparoscopic cholecystectomy with intracorporeal ligation while 106 females and 14 males underwent laparoscopic cholecystectomy by using metal clips. Mean age of the patient was 40.3 + 11.9 years and 38.3+ 10.8 years in laparoscopic cholecystectomy with metal clips group and intracorporeal ligation group respectively. Mean operating time in metal clip group was 2.53 + 0.5 minutes compared to intracorporeal ligation group which was 4.79 + 1.5 minutes. Bile leakage occurred in 04 patients (3.3%). 03 were male and 01 patient was female. All of the patients belong to metal clip group with a p-value of 0.05 which is statistically significant. Conclusion: Intracorporeal ligation in laparoscopic cholecystectomy is safe and can manage all kinds of cystic duct.

How to Cite
Riaz, O., Riaz, M. F., & Rehan, A. (2017). Metal Clips Versus Intracorporeal Ligation for Cystic Duct Occlusion in Laparoscopic Cholecystectomy. Annals of Punjab Medical College, 11(2), 165-168.