The dangers of using stapling devices for cystic duct closure in laparoscopic cholecystectomy.
Laparoscopic stapling devices are used widely in laparoscopic surgery, for division of vessels and creation of anastomoses. Their use in the division of a widened cystic duct at laparoscopic cholecystectomy has been reported earlier. We present 3 different complications occurring after division of the cystic duct using the EndoGIA stapling device. A review of the literature has been performed and safe alternative techniques for laparoscopic ligation of the cystic duct are proposed.
Department of Surgery, Princess Grace Hospital, King's College Hospital, London, UK. ajay.belgaumkar@kch.nhs.uk
Ajay P
AP
Belgaumkar
Kirstin A
KA
Carswell
Avril
A
Chang
Ameet G
AG
Patel
D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002764:Cholecystitis / Q000601:surgery; D042883:Choledocholithiasis / Q000601:surgery; D003549:Cystic Duct / Q000601:surgery*; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D012449:Safety; D017792:Surgical Stapling / Q000009:adverse effects*