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Prospective randomized trial of single incision versus standard 4 port laparoscopic cholecystectomy. Hypothesis is that the operative time will be longer with single incision.
This will be a prospective, randomized clinical trial involving patients who present to the hospital with an indication for cholecystectomy. We will offer enrollment to several institutions provided they receive institutional approval.
This will be a definitive trial design. Based on our operative times with SILS compared with our recent experience in standard laparoscopy, a sample size of 60 patients will give us a power of 0.8 with an α of 0.05.
After the procedure, both groups will be managed in the same manner per routine care. They will be discharged when tolerating a regular diet and their pain is well-controlled on oral pain medication.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SILS Cholecystectomy | Active Comparator | Single Incision Laparoscopic Cholecystectomy |
|
| Standard Laparoscopic Cholecystectomy | Active Comparator | 4 port laparoscopic cholecystectomy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SILS | Procedure | Single Incision Laparoscopic Cholecystectomy |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Operative Time | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Operative complications | 2 weeks | |
| length of hospitalization | 1 week | |
| doses of analgesics |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel J Ostlie, MD | Children's Mercy Hospital Kansas City | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Mercy Hospital | Kansas City | Missouri | 64108 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23331817 | Derived | Ostlie DJ, Juang OO, Iqbal CW, Sharp SW, Snyder CL, Andrews WS, Sharp RJ, Holcomb GW 3rd, St Peter SD. Single incision versus standard 4-port laparoscopic cholecystectomy: a prospective randomized trial. J Pediatr Surg. 2013 Jan;48(1):209-14. doi: 10.1016/j.jpedsurg.2012.10.039. |
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| ID | Term |
|---|---|
| D002769 | Cholelithiasis |
| D001657 | Biliary Dyskinesia |
| ID | Term |
|---|---|
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D003137 | Common Bile Duct Diseases |
| D001649 | Bile Duct Diseases |
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| ID | Term |
|---|---|
| D017081 | Cholecystectomy, Laparoscopic |
| ID | Term |
|---|---|
| D002763 | Cholecystectomy |
| D001662 | Biliary Tract Surgical Procedures |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| Standard Laparoscopic Cholecystectomy |
| Procedure |
4 port technique |
|
|
| 1 week |
| hospital/operation charges | 1 week |
| surgeon perception of difficulty | 1 day |
| cosmetic scores | 6 months |
| D010535 | Laparoscopy |
| D004724 | Endoscopy |
| D019060 | Minimally Invasive Surgical Procedures |