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Laparoscopic Cholecystectomy - Fundus First and Harmonic Ace Compared With Conventional Technique

Not Applicable
Completed
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
Inclusion Criteria
  • laparoscopic cholecystectomy
Exclusion Criteria
  • age >Z65
  • ASA >3
  • obesity
  • previous extensive gastrointestinal surgery

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Laparoscopic cholecystectomyDissection staring at the triangle of calots. Dissection with electrocautery.
2Laparoscopic cholecystectomyDissection as fundus first with electrocautery.
3Laparoscopic cholecystectomyDissection as fundus first with ultrasonic dissection.
Primary Outcome Measures
NameTimeMethod
Operation time, bleeding, pain, nausea, quality of life, analgetics, sick leave, surgical complications, conversion rate30 days
Secondary Outcome Measures
NameTimeMethod
surgical complications3 months

Trial Locations

Locations (1)

Sundsvall Hospital

🇸🇪

Sundsvall, Sweden

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