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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| conventional diathermy hook | Active Comparator | Laparoscopic cholecystectomy made with diathermy hook starting from Calot´s triangle Intervention: Procedure: dissection of gallbladder in laparoscopic cholecystectomy |
|
| 5 mm suction irrigation blunt dissection | Active Comparator | Laparoscopic cholecystectomy made with 5mm suction irrigation blunt dissection starting from gallbladder fundus Intervention: Procedure: dissection of gallbladder in laparoscopic cholecystectomy |
|
| 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 |
|---|---|---|
| number of days for discharge after surgery | 30 days | |
| operative time | 30 days | |
| intraoperative bleeding amount | bleeding which require suction or draining | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| type of analgesic and dose | 30 days | |
| number of events of postoperative nausea and vomiting which require anti emetic drug | 30 day | |
| number of days after surgery when readmission is required |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Central fourth Health Cluster | Ha'il | Saudi Arabia |
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| ID | Term |
|---|---|
| D041761 | Cholecystolithiasis |
| D002769 | Cholelithiasis |
| D042882 | Gallstones |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D005705 | Gallbladder Diseases |
| D002137 | Calculi |
| D020763 | Pathological Conditions, Anatomical |
| ID | Term |
|---|---|
| D013568 | Pathological Conditions, Signs and Symptoms |
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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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Single (Participant)
| dissection of gallbladder in laparoscopic cholecystectomy | Procedure | laparoscopic cholecystectomy with 5mm suction irrigation blunt dissection starting from fundus |
|
| 30 days |
| presence of a morbidity | number of days needed for discharge from service | 30days |
| D010535 | Laparoscopy |
| D004724 | Endoscopy |
| D019060 | Minimally Invasive Surgical Procedures |