Comparison of postoperative liver function between different dissection techniques during laparoscopic cholecystectomy

Tagleb S Mazahreh; Abdelwahab J Aleshawi; Nabil A Al-Zoubi; Mohammad Altabari; Qusai Aljarrah

doi:10.2144/fsoa-2019-0160

Comparison of postoperative liver function between different dissection techniques during laparoscopic cholecystectomy

Future Sci OA. 2020 Feb 7;6(4):FSO462. doi: 10.2144/fsoa-2019-0160.

Authors

Tagleb S Mazahreh¹, Abdelwahab J Aleshawi², Nabil A Al-Zoubi¹, Mohammad Altabari¹, Qusai Aljarrah¹

Affiliations

¹ Department of General Surgery & Urology, Faculty of Medicine, Jordan University of Science & Technology, Irbid 22110, Jordan.
² King Abdullah University Hospital, Jordan University of Science & Technology, Irbid 22110, Jordan.

Abstract

Aim: In this study, we investigated and compared the effect of different types of dissector (Maryland vs Hook) on changes in liver function tests (LFTs) after laparoscopic cholecystectomy.

Patients & methods: The enrolled patients were divided into two groups. Group A patients underwent dissection by Maryland dissecting forceps, group B by Hook dissecting instrument. LFTs were measured preoperatively and at 1 day and 1 week, postoperatively.

Results: For both Maryland and Hook dissection, the 1-day postoperative values for total bilirubin, alanine aminotransferase and aspartate aminotransferase were significantly higher than the preoperative values. Also, there were no statistical differences between Hook and Maryland.

Conclusion: The elevation of LFTs seems to be attributed to other factors.

Keywords: Hook dissector; Maryland dissector; bilirubin; laparoscopic cholecystectomy; liver function tests.