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February 11, 2026Annals of Minimal Access Surgery & Allied Science

Impact of Electrocautery on the Gall Bladder Wall While Separating it From the Liver Bed During Laparoscopic Cholecystectomy

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Authors

ARArun RathaurUDUmesh DhimanASAnkit Shukla

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Overview

Prospective study compares surgical techniques for gallbladder removal, suggesting scissors dissection may reduce thermal injury.

Key Points

  • This study evaluates the effects of electrocautery versus scissors on gallbladder wall histology during laparoscopic cholecystectomy.
  • Conducted a prospective comparative study on 60 patients with symptomatic cholelithiasis.
  • Patients assigned to electrocautery or scissors dissection groups (n=30 each).
  • Analyzed intraoperative findings, postoperative outcomes, and histopathological changes in gallbladder wall.
  • Intraoperative bleeding, gallbladder perforation, and bile spillage rates were similar in both groups.
  • Postoperative stay was shorter for scissors dissection (96.7% discharged on day 1) compared to electrocautery (80%), P=0.04.
  • Significant thermal changes in the serosal layer were observed with electrocautery (60% vs 0%).
  • More focal neural stretching was noted in the muscularis with electrocautery (50% vs 3.3%).

Cite This Study

Rathaur et al. (2025) studied this question.

synapsesocial.com/papers/698c1cd3267fb587c655f8c1https://doi.org/10.4103/amas.amas_42_25
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Safety and efficacy of ultrasonic dissection versus electrocautery dissection in laparoscopic cholecystectomy for acute cholecystitis: an updated systematic review and meta-analysis2025
  2. 2Comparative Analysis of Monopolar Electrocautery and Ultrasonic Activated Scalpel in Laparoscopic Cholecystectomy: A Comprehensive Evaluation Using Clinical, Laboratory, and Imaging Techniques2024
  3. 3Safety and feasibility of cystic artery control with bipolar electrocauterization during laparoscopic cholecystectomy2024 · 1 citations
  4. 4Comparative analysis of surgical outcomes: post-ERCP laparoscopic cholecystectomy versus elective laparoscopic cholecystectomy2024
  5. 5Avoidance of bile duct injury in laparoscopic cholecystectomy with feasible intraoperative resources: A cohort study2024 · 6 citations