Cholecystolithiasis
Conditions
Keywords
laparoscopic cholecystectomy
Brief summary
Day case laparoscopic cholecystectomy can be made with conventional diathermy hook starting at triangle of Calot´s. Ultrasonic dissection starting from the gallbladder fundus is another option. The aim is to test the hypothesis that with ultrasonic dissection technique a better same day discharge and a shorter operative time can be achieved.
Detailed description
After initiation of general anesthesia patients are randomized either to conventional or ultrasonic dissection group. The patients and recovery room personnel are blinded to the operative technique used.
Interventions
Laparoscopic cholecystectomy with diathermy hook starting from triangle of Calot
Sponsors
Central Finland Hospital District
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
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 * common bile duct stones in preoperative imaging * history of severe acute pancreatitis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| same day discharge | 30 days |
| operative time | 30 days |
| intraoperative complications | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| postoperative nausea and vomiting | 30 days |
| analgetic use | 30 days |
| readmission | 30 days |
| morbidity | 30 days |
Countries
Finland
Outcome results
None listed