Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Body First Approach of Laparoscopic Cholecystectomy: Patients in this group will undergo Laparoscopic cholecystectomy by Body First Approach under general anesthesia and sterile conditi
Sponsors
Dr Jagani Harsha Sai
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients scheduled for elective Laparoscopic cholecystectomy 2. Patients diagnosed with symptomatic gallbladder stone diseases based on clinical evaluation and imaging studies 3.Patients who provide informed consent to participate in the study
Exclusion criteria
Exclusion criteria: 1. Patients requiring urgent or emergency surgery due to acute cholecystitis will be excluded from the study as they may have different surgical considerations and outcomes 2.Patients with a history of previous upper abdominal surgery that may significantly alter the surgical anatomy such as gastric bypass or liver resection 3. Patients with known or suspected biliary tract anomalies (e.g Mirizzi syndrome, anomalous biliary anatomy) or ductal pathology (e.g choledocholithiasis, strictures) identified preoperatively 4. Patients with contraindications to laparoscopic surgery such as severe cardiopulmonary disease, uncontrolled coagulopathy, or intra-abdominal adhesions precluding safe laparoscopic access 5. Pregnant females will be excluded due to potential risks to maternal and fetal health and limitations in imaging modalities 6. Patients underwent administration of immunosuppressive agents in the past month 7. Patients with cognitive impairment or inability to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Rate and quality of achievement of the Critical View of Safety which will be defined according to Strasberg criteria of doublet photography 2.Duration of surgeryTimepoint: Primary outcome will be assessed intraoperatively and post operatively after completion of surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Comparison of intraoperative and postoperative complications 2.Recovery of gastrointestinal function (passing of first flatus) 3.Post-operative pain, nausea and vomiting 4.Length of hospital stay 5.Pre and post operative change in inflammatory marker 6.Patient satisfaction using SF 36 criteriaTimepoint: All Patients will be followed in post operative period , at the time of discharge , 1 month and 3 months interval. | — |
Countries
India
Contacts
Public ContactDr Ravi Gupta
All India Institute of Medical Sciences Gorakhpur
Outcome results
None listed