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Outcomes of Three Ports Versus Four Ports Laparoscopic Cholecystectomy, Sohag General Surgery Department Experience

Conditions
Cholecystitis, Chronic
Interventions
Procedure: Laparoscopic Cholecystectomy
Registration Number
NCT06264115
Lead Sponsor
Sohag University
Brief Summary

To compare the outcomes of three ports and four ports Laparoscopic Cholecystectomy

Detailed Description

To compare the outcomes of three ports and four ports Laparoscopic Cholecystectomy Randomized clinical trial comparative study will be carried out on 50 patients underwent laparoscopic cholecystectomy in general surgical department, Sohag University. An informed written consent will be obtained from the patients. Every patient will receive an explanation of the purpose of the study and will have a secret code number. Research results will be only used for scientific purposes. Any unexpected risks appearing during the course of research will be clarified to the participants and to the ethical committee on time.

Patients will be randomly classified into two equal groups; 25 patients will be enrolled in each group using computer generated random number in closed sealed envelope.

Group I (3-ports): 25 patients undergo a three-port LC. Group II (4-ports): 25 patients undergo a four-port LC. All patients will be subjected to thorough history taking (age, sex, symptoms, and duration of symptoms) and full clinical evaluation.

Abdominal ultrasound will be done in all patients. Baseline laboratory (complete blood count and coagulation profile) will be ordered in all patients.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Age 18 to 75 years.
  • Both sexes.
  • Patient with clinical, laboratory and/or radiological evidence that is a candidate for cholecystectomy operation.
Exclusion Criteria
  • Patient's refusal.
  • Bile duct stones.
  • History of obstructive jaundice.
  • Severe acute calculus pancreatitis.
  • Severe co-morbid diseases (uncontrolled diabetes, hypertension, and severe direct hyperbilirubinemia).
  • Prior surgery or adhesion.
  • Radical cholecystectomy.
  • Pregnancy.
  • Malignancy.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Four ports Laparoscopic Cholecystectomy groupLaparoscopic Cholecystectomy-
Three ports Laparoscopic Cholecystectomy groupLaparoscopic Cholecystectomy-
Primary Outcome Measures
NameTimeMethod
Postoperative pain scoreOne year

Measurement of postoperative pain in both groups according to visual analogue scale The Visual Analogue Scale (VAS) measures pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be').

Ask the patient to rate their current level of pain by placing a mark on the line. Use a ruler to measure the distance in centimetres from the 'no pain marker' (or zero) to the current pain mark. This provides a pain intensity score out of 10; for example, 6 out of 10 (or 6/10).

Secondary Outcome Measures
NameTimeMethod
Operative timeOne year
length of hospital stayone year

Trial Locations

Locations (1)

Sohag university

🇪🇬

Sohag, Egypt

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