Cholecystectomy Blunt Dissection

Day-care Laparoscopic Cholecystectomy With Diathermy Hook Versus 5mm Suction Irrigation Blunt Dissection: a Randomized Study

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.

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