Cholelithiasis, Choledocholithiasis, Cholecystolithiasis, Pancreatitis, Cholangitis
Conditions
Brief summary
This study aims to evaluate post-operative pain in single-incision laparoscopic cholecystectomy (SILC) versus the conventional four port technique (LC). The investigators hypothesize that SILC is non-inferior in post-operative pain.
Detailed description
As above
Interventions
Underwent single-incision laparoscopic cholecystectomy
Underwent conventional 4-port laparoscopic cholecystectomy
Sponsors
Study design
Eligibility
Inclusion criteria
* presence of symptomatic gallstones * American Society of Anesthesiologists (ASA) score 1 or 2 * informed consent
Exclusion criteria
* active acute cholecystitis * previous open upper abdominal surgery * bleeding disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative pain 6 months | 6 months post-operative | To evaluate post-operative pain in single-incision laparoscopic cholecystectomy vs the conventional 4 port technique. Measured at both umbilical and extra-umbilical sites, at rest and on movement. Visual analogue scale, from 1-10. |
| Post-operative pain 4 hours | 4 hours post-operative | To evaluate post-operative pain in single-incision laparoscopic cholecystectomy vs the conventional 4 port technique. Measured at both umbilical and extra-umbilical sites, at rest and on movement. Visual analogue scale, from 1-10. |
| Post-operative pain 24 hours | 24 hours post-operative | To evaluate post-operative pain in single-incision laparoscopic cholecystectomy vs the conventional 4 port technique. Measured at both umbilical and extra-umbilical sites, at rest and on movement. Visual analogue scale, from 1-10. |
| Post-operative pain 14 days | 14 days post-operative | To evaluate post-operative pain in single-incision laparoscopic cholecystectomy vs the conventional 4 port technique. Measured at both umbilical and extra-umbilical sites, at rest and on movement. Visual analogue scale, from 1-10. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Procedural complications | 6 months | To evaluate complications between single-incision laparoscopic cholecystectomy vs the conventional four port technique. Conducted via telephone interview and review of hospital records in the intervening period |
| Operative duration | following skin closure | To evaluate operative duration between single-incision laparoscopic cholecystectomy vs the conventional four port technique |
| Subject satisfaction | 14 days and 6 months | To evaluate subject satisfaction between single-incision laparoscopic cholecystectomy vs the conventional four port technique. Measured on a Likert scale, from 1-5 (1 least satisfied, 5 most satisfied) |
| Return to function | 14 days | To evaluate post-operative return to function following surgery, between single-incision laparoscopic cholecystectomy vs the conventional four port technique. Measured as days taken to independent toileting, and independently obtaining meals as a surrogate measure of function |
Countries
Singapore