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

Day Case Laparoscopic Cholecystectomy: Comparison of Fundus First With Ultrasonic Dissection or Conventional Diathermy Hook, Randomized Trial

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.

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.

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