Laparoscopic Cholecystectomy - Fundus First and Harmonic Ace Compared With Conventional Technique
- Conditions
- Cholecystectomy
- Interventions
- Procedure: Laparoscopic cholecystectomy
- Registration Number
- NCT00689663
- Lead Sponsor
- Sundsvall Hospital
- Brief Summary
Laparoscopic cholecytectomy can be by starting the dissection at the triangle of calots or as a fundus first dissection.
Dissection can be with electrocutery or ultrasonic. The optimal technique or the optimal way of dissection has to be established. Patients are at 4 hospitals randomised to the different techniques and the different methods of dissection.
- Detailed Description
Patients at the participating hospitals are randomized to:
1. dissection starting at the triangle of Calots with electrocautery.
2. dissection by fundus first technique with electrocautery.
3. dissection by fundus first technique with ultrasonic dissection.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 233
- laparoscopic cholecystectomy
- age >Z65
- ASA >3
- obesity
- previous extensive gastrointestinal surgery
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 1 Laparoscopic cholecystectomy Dissection staring at the triangle of calots. Dissection with electrocautery. 2 Laparoscopic cholecystectomy Dissection as fundus first with electrocautery. 3 Laparoscopic cholecystectomy Dissection as fundus first with ultrasonic dissection.
- Primary Outcome Measures
Name Time Method Operation time, bleeding, pain, nausea, quality of life, analgetics, sick leave, surgical complications, conversion rate 30 days
- Secondary Outcome Measures
Name Time Method surgical complications 3 months
Trial Locations
- Locations (1)
Sundsvall Hospital
🇸🇪Sundsvall, Sweden