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Quality of Life Measures After Single Access Vs Conventional Laparoscopic Cholecystectomy: Prospective Randomized Study.

Not Applicable
Completed
Conditions
Evidence of Cholecystectomy
Interventions
Other: SURGERY
Registration Number
NCT01412996
Lead Sponsor
Mansoura University
Brief Summary

This study aimed to compare the short term outcomes between SALC and conventional laparoscopic cholecystectomy (CLC).

Detailed Description

In a prospective study, two hundred fifty patients with symptomatic gall bladder stone were randomized to SALC or conventional laparoscopic cholecystectomy (CLC) (125 in each group). The primary endpoint of this study was to assess the total outcomes of quality of life using EuroQoL EQ-5D questionnaire. The secondary endpoints were postoperative pain, analgesia requirement and duration, operative time, perioperative complications, estimated blood loss, hospital stay, cosmoses outcomes and number of days required to return to normal activities.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
250
Inclusion Criteria
  • GALL BLADDER STONES
Exclusion Criteria
  • ACUTE CHOLECYSTITIS
  • PREVIOUS LAPAROTOMY
  • ASA ABOVE 3

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
single ACCESS cholecystectomySURGERYsingle ACCESS laparoscopic cholecystectomy
traditionalSURGERYconventional laparoscopic cholecystectomy
Primary Outcome Measures
NameTimeMethod
QUALITY OF LIFEPREOPERATIVEELY, after 1 WEEK, 1 and 6 months postoperative

Quality of life was the primary endpoint of this study assessed by EuroQoL EQ-5D 9 questionnaire preoperatively, 1 week, 1 and 6 months after surgery. The EQ-5D is a validated questionnaire which consists of 2 pages: the EQ-5D descriptive system and EQ visual analogue scale (EQ VAS). The WQ-5D-descriptive system consists of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems.

Secondary Outcome Measures
NameTimeMethod
operative time2 hours

(defined as the interval between the initial skin incision and skin closure)

postoperative pain5 days

using verbal analogue scale (VAS) from 0 to 10 (0 = no pain, 10 = severe pain)

days to return to normal activity (RTNA)10 days

patients were contacted by phone every day until they are able to return to their normal daily works

COSMOSIS OUTCOMES1 AND 6 MONTHS

cosmetic outcomes 1 and 6 months after surgery using Patient and Observer Scar Assessment Scale (POSAS)(10), it comprises two distinct series of Visual Analogue Scale (VAS) instruments: one is self-assessed by the patient and one by an independent doctor, ranging from 1 (poor) to 10 (excellent)

ANALGESIC REQUIRMENTPOSTOPERATIVE PERIOD

NOMBERS OF ANALGESIC TABLETS AND NO. OF DAYS ANALGESIA NEEDED

Trial Locations

Locations (1)

Mohamed Abdellatif

🇪🇬

Mansoura, Egypt

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