Our Summary

This research paper discusses a study comparing the use of two types of surgical clips - titanium and polymer - in a specific type of surgery called laparoscopic cholecystectomy. The surgeons wanted to see if there was a difference in the results of the surgery based on the type of clip used.

They looked at 100 cases - 50 using polymer clips and 50 using titanium clips. The things they paid special attention to were whether there were any leaks of bile (a fluid produced by the liver), any bleeding after the operation, the need for extra procedures, how long patients stayed in hospital, and the cost.

The study found that the polymer clips were more likely to misfire, and in some cases, an extra polymer clip cartridge had to be opened to finish the operation. However, even with this extra expense, the total cost of using polymer clips was still lower than the cost of using titanium clips.

Three cases resulted in bile leaks that required additional procedures, and all these cases were from surgeries where metal clips were used. There were no cases of bleeding after the operation, and there was no difference in how long patients stayed in the hospital depending on the type of clip used.

In conclusion, the research suggests that polymer and titanium clips have similar results in this type of surgery, but the polymer clips cost less.

FAQs

  1. What types of surgical clips were compared in this study on laparoscopic cholecystectomy?
  2. Were there any differences in the post-operative complications between surgeries using polymer clips and those using titanium clips?
  3. What was the cost difference between using polymer and titanium clips for laparoscopic cholecystectomy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic cholecystectomy is to discuss with them the type of clips that will be used during the surgery. Patients can ask about the benefits and potential risks associated with different types of clips, such as polymer and titanium, and make an informed decision based on this information. It’s important for patients to feel comfortable and confident in the surgical approach being taken, and understanding the choice of clips used can help alleviate any concerns they may have.

Suitable For

Patients who are typically recommended for laparoscopic cholecystectomy are those who have symptomatic gallstones, gallbladder inflammation (cholecystitis), or complications such as pancreatitis or jaundice. This minimally invasive procedure is often preferred over open surgery for these patients due to its quicker recovery time, shorter hospital stay, and lower risk of complications.

Timeline

Before laparoscopic cholecystectomy:

  1. Patient experiences symptoms of gallbladder issues such as abdominal pain, nausea, and vomiting.
  2. Patient undergoes diagnostic tests such as ultrasound or CT scan to confirm gallbladder disease.
  3. Surgeon recommends laparoscopic cholecystectomy as the treatment option.
  4. Patient undergoes preoperative evaluation and preparation for surgery.

After laparoscopic cholecystectomy:

  1. Patient undergoes laparoscopic cholecystectomy procedure using either polymer or titanium clips to close off the bile ducts.
  2. Surgeon monitors patient for any complications such as bile leaks or bleeding post-operation.
  3. Patient is discharged from the hospital within a few days after the surgery.
  4. Patient may experience some pain and discomfort in the immediate postoperative period.
  5. Patient follows up with the surgeon for postoperative care and recovery.
  6. Patient resumes normal activities and diet gradually as advised by the surgeon.

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic cholecystectomy include:

  1. What is laparoscopic cholecystectomy and why is it recommended for me?
  2. What are the potential risks and complications associated with this surgery?
  3. How experienced are you in performing laparoscopic cholecystectomy?
  4. Will I need to stay in the hospital overnight after the surgery?
  5. What is the expected recovery time and when can I return to normal activities?
  6. Will I need to make any changes to my diet or lifestyle after the surgery?
  7. What type of clips will be used during the surgery and what are the differences between polymer and titanium clips?
  8. Are there any specific reasons why one type of clip would be preferred over the other in my case?
  9. What is the likelihood of complications such as bile leaks or bleeding after the surgery?
  10. What is the overall cost of the surgery, including any potential additional procedures or complications that may arise?

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