A Randomised Comparison Between Single Incision Laparoscopic Cholecystectomy and Standard Laparoscopic Cholecystectomy
A Randomised Comparison of Postoperative Pain and Recovery Between Single Incision Laparoscopic Cholecystectomy Using One Port and Standard Laparoscopic Cholecystectomy Using Four Ports
1 other identifier
interventional
40
1 country
1
Brief Summary
Laparoscopic cholecystectomy has been established as the treatment of choice for symptomatic gallstone disease. The main advantages of laparoscopic surgery are the cosmetic result, reduced postoperative pain, shorter hospital stay and rapid return to normal activity. Although reduced, however, pain is still substantial and constitutes the main clinical problem after laparoscopic cholecystectomy, especially for planned day case procedures. Recently, a new technique of laparoscopic cholecystectomy has been developed, in which all instruments are inserted through the same umbilical incision. The single incision laparoscopic surgery (SILS) technique for cholecystectomy has been proved to be feasible and safe by several studies. The purpose of the study is to compare postoperative pain and operating time, nausea, vomiting, tissue damage, pulmonary function, cosmetic result, quality of life between SILS and standard laparoscopic cholecystectomy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2010
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 23, 2010
CompletedFirst Posted
Study publicly available on registry
March 26, 2010
CompletedStudy Start
First participant enrolled
April 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2011
CompletedJune 25, 2010
June 1, 2010
1 year
March 23, 2010
June 24, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Postoperative pain
Postoperative pain will be assessed using a visual analogue pain score
24h
Secondary Outcomes (6)
operating time
Duration of surgical procedure
nausea or vomiting
24 h
tissue damage
24h
pulmonary function
24h
cosmetic result
4 weeks
- +1 more secondary outcomes
Study Arms (2)
Standard lap chole
ACTIVE COMPARATORLaparoscopic cholecystectomy using four entry sites to the abdominal cavity
Single incision lap chole
ACTIVE COMPARATORLaparoscopic cholecystectomy using one entry site to the abdominal cavity
Interventions
Laparoscopic cholecystectomy using four entry sites to the abdominal cavity
Laparoscopic cholecystectomy using one entry site to the abdominal cavity
Eligibility Criteria
You may qualify if:
- Patients with symptomatic cholelithiasis, admitted for laparoscopic cholecystectomy
You may not qualify if:
- Patients with acute cholecystitis
- Patients with extensive upper abdominal incisions
- Patients with body mass index \>30
- Patients on regular analgesic medication
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Academic Department of Surgery, Aretaieion Hospital
Athens, 11528, Greece
Related Publications (3)
Tacchino R, Greco F, Matera D. Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc. 2009 Apr;23(4):896-9. doi: 10.1007/s00464-008-0147-y. Epub 2008 Sep 25.
PMID: 18815836BACKGROUNDChow A, Purkayastha S, Aziz O, Paraskeva P. Single-incision laparoscopic surgery for cholecystectomy: an evolving technique. Surg Endosc. 2010 Mar;24(3):709-14. doi: 10.1007/s00464-009-0655-4. Epub 2009 Aug 18.
PMID: 19688389BACKGROUNDSteinemann DC, Raptis DA, Lurje G, Oberkofler CE, Wyss R, Zehnder A, Lesurtel M, Vonlanthen R, Clavien PA, Breitenstein S. Cosmesis and body image after single-port laparoscopic or conventional laparoscopic cholecystectomy: a multicenter double blinded randomised controlled trial (SPOCC-trial). BMC Surg. 2011 Sep 12;11:24. doi: 10.1186/1471-2482-11-24.
PMID: 21910897DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Antonios Vezakis, lecturer
University of Athens
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 23, 2010
First Posted
March 26, 2010
Study Start
April 1, 2010
Primary Completion
April 1, 2011
Study Completion
April 1, 2011
Last Updated
June 25, 2010
Record last verified: 2010-06