Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| conventional diathermy hook | Active Comparator | Laparoscopic cholecystectomy made with diathermy hook starting from Calot´s triangle |
|
| ultrasonic dissection | Active Comparator | Laparoscopic cholecystectomy made with ultrasonic dissection starting from gallbladder fundus |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dissection of gallbladder in laparoscopic cholecystectomy | Procedure | Laparoscopic cholecystectomy with diathermy hook starting from triangle of Calot |
|
| Measure | Description | Time Frame |
|---|---|---|
| same day discharge | 30 days | |
| operative time | 30 days | |
| intraoperative complications | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| analgetic use | 30 days | |
| postoperative nausea and vomiting | 30 days | |
| readmission |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Ilmo Kellokumpu, Docent | Jyvaskyla Central Hospital | Study Director |
| Anne K Mattila, MD | Jyvaskyla Central Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jyvaskyla Central Hospital | Jyväskylä | Jyvaskyla | 40620 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15880649 | Background | Cengiz Y, Janes A, Grehn A, Israelsson LA. Randomized trial of traditional dissection with electrocautery versus ultrasonic fundus-first dissection in patients undergoing laparoscopic cholecystectomy. Br J Surg. 2005 Jul;92(7):810-3. doi: 10.1002/bjs.4982. | |
| 19688393 | Background | Cengiz Y, Dalenback J, Edlund G, Israelsson LA, Janes A, Moller M, Thorell A. Improved outcome after laparoscopic cholecystectomy with ultrasonic dissection: a randomized multicenter trial. Surg Endosc. 2010 Mar;24(3):624-30. doi: 10.1007/s00464-009-0649-2. Epub 2009 Aug 18. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| dissection of gallbladder in laparoscopic cholecystectomy | Procedure | laparoscopic cholecystectomy with ultrasonic scissors starting from fundus |
|
| 30 days |
| morbidity | 30 days |
| ID | Term |
|---|---|
| D041761 | Cholecystolithiasis |
| ID | Term |
|---|---|
| D002769 | Cholelithiasis |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D005705 | Gallbladder Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D017081 | Cholecystectomy, Laparoscopic |
| ID | Term |
|---|---|
| D002763 | Cholecystectomy |
| D001662 | Biliary Tract Surgical Procedures |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D010535 | Laparoscopy |
| D004724 | Endoscopy |
| D019060 | Minimally Invasive Surgical Procedures |
Not provided
Not provided