title: Comparative Study of the Use of a Suturing System and Titanium Clips.
abstract: There is a need for secure and easy methods for suturing in laparoscopic surgery, no matter whether vessels are to be ligated, two structures sutured together, or the cystic duct is to be occluded in cholecystectomy. Laparoscopic suturing can be done with a suture, using automatic sewing devices or clips. Improper ligation of a vessel for example can result in bleeding, which is more difficult to treat in a laparoscopic procedure than in an open procedure. By using a Roeder knot in laparoscopic suturing, tying of the knot requires some expertise and makes the procedure more complicated and time-consuming.
authors.affiliation: Research Assistant, Section for Minimally Invasive Surgery, Eberhard-Karls-University Tübingen, Tübingen, Germany.
authors.forename: Sabine Cecile
authors.initials: SC
authors.lastname: Fischer
authors.forename: Klaus
authors.initials: K
authors.lastname: Roth
authors.forename: Alberto
authors.initials: A
authors.lastname: Arezzo
authors.forename: Heike
authors.initials: H
authors.lastname: Raestrup
authors.forename: Marc Oliver
authors.initials: MO
authors.lastname: Schurr
authors.forename: Gerhard Fritz
authors.initials: GF
authors.lastname: Buess