Symptomatic gallstone disease including pancreatitis Digestive System Acute pancreatitis
Conditions
Interventions
Patients will be randomised to the standard '5-mm' laparoscopic cholecystectomy or the '3-mm' laparoscopic cholecystectomy. The difference between the two being the epigastric and right upper quadrant
Sponsors
Norfolk and Norwich University Hospitals NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Symptomatic gallstone disease 2. Age 18 to 70 years, either sex 3. Suitable for day-case procedure
Exclusion criteria
Exclusion criteria: 1. Acute cholecystitis or empyema of gallbladder 2. Not fit for day-case procedure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Post-operative pain, measured with the Visual Analogue Scale at 6 hours, 1 week and 6 months post-operatively 2. Scar cosmesis, assessed at 6 months using a validated scar questionnaire - Patient Scar Assessment Questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Operating time, measured in minutes and starting from the time the surgeon is ready to make the first incision until the time the dressings have been applied 2. Conversion to the other technique will apply in the 3-mm group only and the use of any 5-mm port to aid removal of the gallbladder will be classed as a conversion to the standard technique. Any conversions to open will also be recorded 3. Histology of the gallbladders, assessed from the formal histology reports and will be divided into acute cholecystitis, chronic cholecystitis, and normal gallbladder wall 4. Gallbladder wall thickness 5. Operative complications, measured immediately, and late complications will be assessed at 1 week and at 6-month follow up appointments | — |
Countries
United Kingdom
Outcome results
None listed