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The Dangers of Using Stapling Devices for Cystic Duct Closure in Laparoscopic Cholecystectomy

Belgaumkar, Ajay P. MRCS*; Carswell, Kirstin A. MRCS; Chang, Avril FRACS; Patel, Ameet G. MS, FRCS

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: October 2009 - Volume 19 - Issue 5 - p e194-e197
doi: 10.1097/SLE.0b013e3181b9b2f3
Online Articles: Case Reports
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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

Department of Surgery, King's College Hospital, London, UK

Reprints: Ajay P. Belgaumkar, MRCS, Department of Surgery, 1st Floor Cheyne Wing, King's College Hospital, Denmark Hill, London, UK, SE5 9RS (e-mail: ajay.belgaumkar@kch.nhs.uk).

Received for publication February 25, 2009

accepted July 16, 2009

© 2009 Lippincott Williams & Wilkins, Inc.