Laparoscopic Cholecystectomy - Fundus First and Harmonic Ace Compared With Conventional Technique
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.
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.
Study Design
Allocation: Randomized, Control: Active Control, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Conditions
Cholecystectomy
Intervention
Laparoscopic cholecystectomy
Location
Sundsvall Hospital
Sundsvall
Sweden
se-85641
Status
Completed
Source
Sundsvall Hospital
Results (where available)
Links
- Source: http://clinicaltrials.gov/show/NCT00689663
- Information obtained from ClinicalTrials.gov on July 15, 2010
Medical and Biotech [MESH] Definitions
Cholecystectomy, Laparoscopic
Excision of the gallbladder through an abdominal incision using a laparoscope.
Cholecystectomy
Surgical removal of the GALLBLADDER.
Sphincterotomy, Endoscopic
Incision of Oddi's sphincter or Vater's ampulla performed by inserting a sphincterotome through an endoscope (DUODENOSCOPE) often following retrograde cholangiography (CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE). Endoscopic treatment by sphincterotomy is the preferred method of treatment for patients with retained or recurrent bile duct stones post-cholecystectomy, and for poor-surgical-risk patients that have the gallbladder still present.
Hand-assisted Laparoscopy
Placement of one of the surgeon's gloved hands into the ABDOMINAL CAVITY to perform manual manipulations that facilitate the laparoscopic procedures.
Surgery, Computer-assisted
Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.
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