A COMPARATIVE STUDY ON CLIP OCCLUSION VERSUS EXTRACORPOREAL SUTURE LIGATION (ROEDER KNOT) OF THE CYSTIC DUCT IN LAPAROSCOPIC CHOLECYSTECTOMY

Abstract

OBJECTIVE:To compare clip occlusion versus extra corporeal suture ligation (Roeder knot) of the cystic duct in laparoscopic cholecystectomy. METHODS: The study was a single blinded randomized controlled study conducted in the Department of General Surgery, Prasad Institute of Medical Sciences, Lucknow, Uttar Pradesh. 60 adult patients in the age range 16-60 years undergoing laparoscopic cholecystectomy were included in the study. Patients were divided into two groups. Group I: 30 patients in whom metallic clip occlusion was done for the cystic duct; Group II: 30 patients in whom extracorporeal suture ligation (Roeder knot) was used for suture ligation of the cystic duct. RESULTS: The mean age of patients of Group I and Group II was 46.18±13.45 and 48.20±12.50 years respectively. Most of patients in both the groups were females. There was no signicant (p>0.05) difference in the mean duration of surgery, in VAS at 12 hours postop and mean number of days returned to work between the groups. CONCLUSION:This study concludes that cystic duct occlusion with knots/ligatures is a safe, cost effective alternative to Clip ligations.