Use of a bipolar vessel-sealing device for cholecystectomy in dogs with gallbladder mucocele has similar complication rates to traditional cystic duct ligation methods (2018-2024).

Abstract

OBJECTIVE: To compare complication rates in dogs undergoing open cholecystectomy for gallbladder mucocele with the use of a bipolar vessel-sealing device (BVSD) for cystic duct (CD) ligation versus traditional ligation methods. METHODS: Medical records from dogs undergoing cholecystectomy for gallbladder mucocele at a privately owned referral institution between 2018 and 2024 were reviewed. Complications during the perioperative (following surgery to hospital discharge) and short-term (time of discharge to 2 months following surgery) periods were categorized as mild, moderate, and severe. The rate and severity of complications were compared between dogs receiving cholecystectomy via CD ligation with the use of BVSD (BVSD group) and dogs receiving cholecystectomy with the use of traditional ligation methods (non-BVSD group). RESULTS: 177 dogs were included in this study: 47 dogs with CD ligation via BVSD and 130 dogs with CD ligation via other methods. There was no statistical difference in the complication rates or severity of complications between either group during the perioperative or short-term period. There was no difference between the populations in relation to elective surgery, gallbladder rupture, and culture results. Additional procedures including common bile duct catheterization at the time of cholecystectomy were more likely in the non-BVSD group. CONCLUSIONS: There was no difference in outcomes between the 2 groups in this study. Dogs were more likely to have additional surgical procedures when CD ligation was performed without BVSD. CLINICAL RELEVANCE: The use of a BVSD is a safe and effective method of CD ligation for open cholecystectomy in dogs on the basis of surgeon experience and preference.