Laparoscopic Cholecystectomy
Conditions
Keywords
Cholecystolithiasis, Cholelithiasis, Gallstones, Biliary Tract Diseases, Digestive System Diseases, Gallbladder Diseases, Calculi, Pathological Conditions, Anatomical
Brief summary
Day case laparoscopic cholecystectomy can be made with conventional diathermy hook starting at triangle of Calot´s. 5mm suction irrigation blunt dissection starting from the gallbladder fundus is another option. The aim is to test the hypothesis that with 5mm suction irrigation blunt dissection technique a better same day discharge and a shorter operative time can be achieved.
Detailed description
After initiation of general anaesthesia patients are randomized either to conventional(cautery) or 5mm suction irrigation blunt 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
Imam Mohammad ibn Saud Islamic University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Single (Participant)
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 | Description |
|---|---|---|
| number of days for discharge after surgery | 30 days | — |
| operative time | 30 days | — |
| intraoperative bleeding amount | 30 days | bleeding which require suction or draining |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| type of analgesic and dose | 30 days | — |
| presence of a morbidity | 30days | number of days needed for discharge from service |
| number of events of postoperative nausea and vomiting which require anti emetic drug | 30 day | — |
| number of days after surgery when readmission is required | 30 days | — |
Countries
Saudi Arabia
Outcome results
None listed