Cholecystectomy Blunt Dissection
Study Details
Study Description
Brief Summary
Day case laparoscopic cholecystectomy can be made with conventional diathermy hook starting at triangle of Calot´s. 5mm suction irrigation blunt dissection starting from the gallbladder fundus is another option. The aim is to test the hypothesis that with 5mm suction irrigation blunt dissection technique a better same day discharge and a shorter operative time can be achieved.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
After initiation of general anaesthesia patients are randomized either to conventional(cautery) or 5mm suction irrigation blunt dissection group. The patients and recovery room personnel are blinded to the operative technique used.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: conventional diathermy hook Laparoscopic cholecystectomy made with diathermy hook starting from Calot´s triangle Intervention: Procedure: dissection of gallbladder in laparoscopic cholecystectomy |
Procedure: dissection of gallbladder in laparoscopic cholecystectomy
Laparoscopic cholecystectomy with diathermy hook starting from triangle of Calot
Procedure: dissection of gallbladder in laparoscopic cholecystectomy
laparoscopic cholecystectomy with 5mm suction irrigation blunt dissection starting from fundus
|
Active Comparator: 5 mm suction irrigation blunt dissection Laparoscopic cholecystectomy made with 5mm suction irrigation blunt dissection starting from gallbladder fundus Intervention: Procedure: dissection of gallbladder in laparoscopic cholecystectomy |
Procedure: dissection of gallbladder in laparoscopic cholecystectomy
Laparoscopic cholecystectomy with diathermy hook starting from triangle of Calot
Procedure: dissection of gallbladder in laparoscopic cholecystectomy
laparoscopic cholecystectomy with 5mm suction irrigation blunt dissection starting from fundus
|
Outcome Measures
Primary Outcome Measures
- number of days for discharge after surgery [30 days]
- operative time [30 days]
- intraoperative bleeding amount [30 days]
bleeding which require suction or draining
Secondary Outcome Measures
- type of analgesic and dose [30 days]
- number of events of postoperative nausea and vomiting which require anti emetic drug [30 day]
- number of days after surgery when readmission is required [30 days]
- presence of a morbidity [30days]
number of days needed for discharge from service
Eligibility Criteria
Criteria
Inclusion Criteria:
-
ASA I-II
-
BMI under 35
-
normal liver enzymes
-
no bile duct dilatation in ultrasound
-
cholecystolithiasis
Exclusion Criteria:
-
NSAID allergy
-
previous upper gi-surgery
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common bile duct stones in preoperative imaging
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history of severe acute pancreatitis
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Central fourth Health Cluster | Hail | Saudi Arabia |
Sponsors and Collaborators
- Imam Mohammad ibn Saud Islamic University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CHOLECYSTECTOMY BLUNT