Cholecystectomy Blunt Dissection

Imam Mohammad ibn Saud Islamic University

Status: Invitation-only

Conditions: Laparoscopic Cholecystectomy

Treatments: Procedure: dissection of gallbladder in laparoscopic cholecystectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT05366920

CHOLECYSTECTOMY BLUNT

Details and patient eligibility

About

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.

Full 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.

Enrollment: 20 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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20 participants in 2 patient groups

conventional diathermy hook

Active Comparator group

Description:

Laparoscopic cholecystectomy made with diathermy hook starting from Calot´s triangle Intervention: Procedure: dissection of gallbladder in laparoscopic cholecystectomy

Treatment:

Procedure: dissection of gallbladder in laparoscopic cholecystectomy

Procedure: dissection of gallbladder in laparoscopic cholecystectomy

5 mm suction irrigation blunt dissection

Active Comparator group

Description:

Laparoscopic cholecystectomy made with 5mm suction irrigation blunt dissection starting from gallbladder fundus Intervention: Procedure: dissection of gallbladder in laparoscopic cholecystectomy

Treatment:

Procedure: dissection of gallbladder in laparoscopic cholecystectomy

Procedure: dissection of gallbladder in laparoscopic cholecystectomy