Comparative Study Between the Conventional Endoscopic Cholecystectomy of Paient with Gall Stone using the Operative Assistants and Endoscopic Cholecystectomy using the new Innovated Adjustable Telescopic Holder

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Panus Soponpong

Abstract

Backgroud : Endoscopic  cholecystectomy  of  patient  with  gall  stone  is   a  well  known  operative  technique,   which  is  performed  by  one  surgeon,  1-2  operative  assistants  and  1 scrub  nurse.   Since  the  lacking   of   operative  assistants,  the  new  adjustable   telescopic  holder  was  invented  to  solve  that  problem.

Objective :   To  evaluate  the  efficacy  of  this  new  instrument  by  comparing  the  operating  times  and  complication   of  the  conventional  endoscopic  cholecystectomy  with  the  endoscopic  cholecystectomy  using   the   new   instrument  .

Study   design : Non – randomized   clinical   trial.

Setting :  Department    of  Surgery,   Chaiyaphum   Provincial   Hospital.

Subjects :  Sixty  patients   with   symptomatic   gall  stone,  who  were   admitted   at  this   hospital  during   November    2001  to may   2002.  These   patients   were  divided   into  two  groups   equally.  Group   I    of   patients    were    operated  by  the  conventional  endoscopic  cholecystectomy,  by  a  team  of  one  surgeon,  one  operative assisitant, and  one  scrub  nurse. Group  II  were  operated similarly  but susing  the  new  adjustable  telescopic  holder  in  place  of  the  assistant.  Both  groups  were  operated  by  the  same  surgeon.  The  operating  time  and  complication  were   recorded.

Results : Thirty  patients  in  group   I were   6   males  and  24  females,  15-78  years  of  age  (average  52.8  years).  Their  body  weights  were  44-87  kilograms  (average  67.5 kilograms).  There  were  2  patients  who  had  diabetes  mellitus  and  two    had  hypertension,  and  one  patient  with  both  diseases.   Group  II  consisted   of  5   males  and  25  females,  17-76  years  of  age  (average  52.5 years). Their  body  weights  were 42 – 89  kilograms  (average  65.8  kilograms).  There  were  two cases  with  DM,  one  case  with  hypertension  and  one  case  with  both  diseases.  The  operating  times  of  the  group  I  and  II  were  24.6 ±  7.5  and  25.7  ±  8.9  minutes  respectively  (p>  0.05).  There  was  no   complication  during  and  after  operations. The  price  of  the  invented  instrument  was  50  times  cheaper  than  imported  instrument.

Conclusion : This  new  adjustable  telescopic  holder  was  effective and  could replace   the  operating   assistant  in  the  endoscope  cholecystectomy   of  patient  with  gall  stone.

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1.
Soponpong P. Comparative Study Between the Conventional Endoscopic Cholecystectomy of Paient with Gall Stone using the Operative Assistants and Endoscopic Cholecystectomy using the new Innovated Adjustable Telescopic Holder. SRIMEDJ [Internet]. 2013 Nov. 22 [cited 2022 May 29];18(1):3-8. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/14433
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