Day Case Laparoscopic Cholecystectomy: Fundus First With Ultrasonic Dissection or Conventional Diathermy Hook

Central Finland Hospital District

Status: Completed

Conditions: Cholecystolithiasis

Treatments: Procedure: dissection of gallbladder in laparoscopic cholecystectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT01553331

KSSHPB10208

Details and patient eligibility

About

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.

Full 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.

Enrollment: 169 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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169 participants in 2 patient groups

conventional diathermy hook

Active Comparator group

Description:

Laparoscopic cholecystectomy made with diathermy hook starting from Calot´s triangle

Treatment:

Procedure: dissection of gallbladder in laparoscopic cholecystectomy

Procedure: dissection of gallbladder in laparoscopic cholecystectomy

ultrasonic dissection

Active Comparator group

Description:

Laparoscopic cholecystectomy made with ultrasonic dissection starting from gallbladder fundus

Treatment:

Procedure: dissection of gallbladder in laparoscopic cholecystectomy

Procedure: dissection of gallbladder in laparoscopic cholecystectomy