Clipless laparoscopic cholecystectomy is a better technique in reducing intraoperative bleeding

A best evidence topic has been constructed using a described protocol. The three-part question addressed was: In patients undergoing cholecystectomy is the clipless laparoscopic cholecystectomy associated with lower rates of intraoperative bleeding compared to conventional cholecystectomy? The search has been devised and 5 studies were deemed to be suitable to answer the question. The outcome assessed was the rate intraoperative blood loss in clipless cholecystectomy compared to conventional laparoscopic cholecystectomy. Authors recommend adopting clipless laparoscopic cholecystectomy especially in patients with high risk of intraoperative bleeding. •Perioperative Bleeding with laparoscopic cholecystectomy can be an troublesome especially in high risk patients.•Clipless laparoscopic cholecystectomy entails using energy device to dissect and to seal the cystic duct and artery.•Clipless cholecystectomy can offer a sensible solution for this particular situations.