Cholecystectomy
Conditions
Keywords
cholecystectomy
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.
Detailed description
Patients at the participating hospitals are randomized to: 1. dissection starting at the triangle of Calots with electrocautery. 2. dissection by fundus first technique with electrocautery. 3. dissection by fundus first technique with ultrasonic dissection.
Interventions
Randomized to three arm.
Sponsors
Study design
Eligibility
Inclusion criteria
* laparoscopic cholecystectomy
Exclusion criteria
* age \>Z65 * ASA \>3 * obesity * previous extensive gastrointestinal surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Operation time, bleeding, pain, nausea, quality of life, analgetics, sick leave, surgical complications, conversion rate | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| surgical complications | 3 months |
Countries
Sweden