Our Summary

This research paper compares the use of two types of surgical clips in removing the gallbladder: titanium clips and polymer clips. The study looked at 50 operations using each type of clip. While polymer clips misfired more often than titanium clips, they were still cheaper. Furthermore, the instances where leaks occurred and additional procedures were required, all used metal clips. The study concludes that both types have similar outcomes, but polymer clips are more cost-effective.

FAQs

  1. What types of surgical clips were compared in this research for gallbladder removal?
  2. Which type of surgical clip was found to be more cost-effective in the study?
  3. Did the study find any correlation between the type of surgical clip used and the occurrence of leaks or additional procedures?

Doctor’s Tip

A helpful tip a doctor might tell a patient about cholecystectomy is to discuss with them the type of surgical clips that will be used during the procedure. It is important for the patient to be aware of the potential benefits and risks associated with different types of clips, such as titanium clips and polymer clips. In some cases, polymer clips may be more cost-effective and have similar outcomes compared to titanium clips. However, it is essential for the patient to understand the potential for misfiring and leaks with polymer clips, and to weigh the cost-effectiveness against these potential risks. Ultimately, the decision on which type of clip to use should be made in consultation with the patient’s healthcare provider.

Suitable For

Patients who are typically recommended cholecystectomy include those with:

  1. Gallstones causing symptoms such as pain, inflammation, infection, or blockage of the bile duct
  2. Chronic gallbladder inflammation (cholecystitis)
  3. Gallbladder polyps
  4. Gallbladder cancer
  5. Biliary dyskinesia
  6. Pancreatitis caused by gallstones

It is important for patients to discuss their individual medical history and symptoms with their healthcare provider to determine if cholecystectomy is the best treatment option for them.

Timeline

Before cholecystectomy:

  1. Patient experiences symptoms of gallbladder issues such as abdominal pain, bloating, nausea, and vomiting.
  2. Patient undergoes diagnostic tests such as ultrasound, CT scan, or MRI to confirm the presence of gallstones or other issues.
  3. Patient may be prescribed medications to manage symptoms or prevent complications.
  4. Patient discusses surgical options with their healthcare provider and decides to proceed with cholecystectomy.

After cholecystectomy:

  1. Patient undergoes pre-operative preparation including fasting and possibly bowel preparation.
  2. Patient undergoes cholecystectomy surgery, which is typically done laparoscopically and involves the removal of the gallbladder.
  3. Patient may experience pain, discomfort, and fatigue after surgery and will be monitored in the hospital for a few days.
  4. Patient is discharged from the hospital and given instructions for post-operative care, including wound care, pain management, and diet restrictions.
  5. Patient may experience changes in digestion and bowel habits due to the absence of the gallbladder.
  6. Patient follows up with their healthcare provider for follow-up appointments and monitoring of their recovery.

What to Ask Your Doctor

  1. What is a cholecystectomy and why do I need one?
  2. What are the risks and benefits of using titanium clips versus polymer clips during the surgery?
  3. How often do complications, such as leaks, occur with each type of clip?
  4. Will I need any additional procedures or follow-up care if a leak occurs during surgery?
  5. How much more cost-effective are polymer clips compared to titanium clips?
  6. Are there any long-term effects or complications associated with either type of clip?
  7. How experienced are you in using polymer clips for cholecystectomy surgeries?
  8. Are there any other surgical techniques or materials that could be used instead of clips for my cholecystectomy?
  9. What is the expected recovery time and outcome for a cholecystectomy using polymer clips?
  10. How will I be monitored for any potential complications after the surgery?

Reference

Authors: Oyola AM, Miller J, Edgerton C, Hope W. Journal: Surg Technol Int. 2023 Dec 15;43:43-45. doi: 10.52198/23.STI.43.GS1730. PMID: 37972547