Vol. 8, Issue 1, Part C (2024)

Introduction: Laparoscopic cholecystectomy is a minimally invasive surgical procedure designed for gallbladder removal, particularly beneficial when gallstones lead to inflammation, pain, or infection. 

Aim and Objectives: To assess the feasibility and effectiveness of using Liga clips compared to a bipolar diathermy system for laparoscopic sealing of the cystic artery.

Materials and Methods: A prospective comparative study involving 100 patients diagnosed with gallbladder disease and scheduled for laparoscopic cholecystectomy was conducted at Amar Hospital in Patiala. Pregnant individuals, those with coagulation disorders, umbilical hernia, and patients with associated cardiac comorbidities were excluded from the study.

Results: In this study, we observed that mean age in Group A was 56.1 years, and in Group B, it was 55.08 years. 7 patients (14%) in Group A and 4 patients (8%) in Group B experienced gallbladder (GB) injury. We did not found significant difference in the operative time between the groups (P=0.154). None of the patients in either of the two groups experienced post-operative bleeding, and there were no instances of mortality observed in either group.

Conclusion: Our study advocates for the use of bipolar cautery as a safe, cost-effective, and efficient alternative to clipping for sealing the cystic artery during laparoscopic cholecystectomy. This method demonstrates comparable outcomes in morbidity, mortality, and overall efficacy, making it a recommended approach for managing the cystic artery.