DOI: 10.36347/sjams.2016.v04i04.059

Pages: 1418-1423

During laparoscopic cholecystectomy, it is necessary to occlude cystic permanently in order to prevent leakage of bile into the peritoneal cavity. Traditionally this has been through the application of non- absorbable metal clips. Other alternatives to non absorbable metal clips for cystic duct occlusion are absorbable clips, locking clips and absorbable knots. This study was conducted as prospective randomised study in which we compared outcomes of patients in whom Cystic Duct Occlusion was done by clips with those in whom ligature was used. We share our experience of one hundred cases who were subjected to Laparoscopic Cholecystectomy out of which in fifty cases cystic duct was occluded by clips and in other group of fifty cases the cystic duct was occluded with knot/ ligature. Results of this study demonstrate that cystic duct occlusion with knots/ligatures is a safe, cost effective alternative to clips. Safety of using knots/ligatures is even better than clips as is evident from our study comparing these two methods of cystic duct occlusion.