Laparoscopic Cholecystectomy - Fundus First and Harmonic Ace Compared With Conventional Technique
Study Details
Study Description
Brief Summary
Laparoscopic cholecytectomy can be by starting the dissection at the triangle of calots or as a fundus first dissection.
Dissection can be with electrocutery or ultrasonic. The optimal technique or the optimal way of dissection has to be established. Patients are at 4 hospitals randomised to the different techniques and the different methods of dissection.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Patients at the participating hospitals are randomized to:
-
dissection starting at the triangle of Calots with electrocautery.
-
dissection by fundus first technique with electrocautery.
-
dissection by fundus first technique with ultrasonic dissection.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: 1 Dissection staring at the triangle of calots. Dissection with electrocautery. |
Procedure: Laparoscopic cholecystectomy
Randomized to three arm.
Other Names:
|
Active Comparator: 2 Dissection as fundus first with electrocautery. |
Procedure: Laparoscopic cholecystectomy
Randomized to three arm.
Other Names:
|
Active Comparator: 3 Dissection as fundus first with ultrasonic dissection. |
Procedure: Laparoscopic cholecystectomy
Randomized to three arm.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Operation time, bleeding, pain, nausea, quality of life, analgetics, sick leave, surgical complications, conversion rate [30 days]
Secondary Outcome Measures
- surgical complications [3 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
- laparoscopic cholecystectomy
Exclusion Criteria:
-
age >Z65
-
ASA >3
-
obesity
-
previous extensive gastrointestinal surgery
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Sundsvall Hospital | Sundsvall | Sweden | se-85641 |
Sponsors and Collaborators
- Sundsvall Hospital
Investigators
- Study Chair: Leif A Israelsson, MD,PhD, Umea University
Study Documents (Full-Text)
None provided.More Information
Publications
- YC11