Metallic clips were used in place of ligatures in 120 consecutive cholecystectomies. Use of these clips is a precise, rapid method of ligating structures, which, because of their location, could be difficult to hold and tie. There have been no complications from use of the clips to date.
Cogliano FD, Marcello DE. Use of Hemoclips in Cholecystectomy. Arch Surg. 1972;104(3):351-352. doi:10.1001/archsurg.1972.04180030097025