Effects of Drainage in Laparoscopic Cholecystectomy
To Drain or Not to Drain in Laparoscopic Cholecystectomy for the Patients With Acutely Inflamed Gallbladder ; a Multicenter Randomized Controlled Trial
1 other identifier
interventional
198
1 country
1
Brief Summary
During laparoscopic surgery for an acutely inflamed gallbladder, most surgeons routinely insert a drain. However, no consensus has been reached regarding the need for drainage in these cases, and the use of a drain remains controversial. This study is coordinated to find out the surgical outcomes and perioperative morbidity according to the insertion of drain after laparoscopic cholecystectomy. Investigators expect that the routine use of a drain after laparoscopic cholecystectomy for an acutely inflamed gallbladder will have no effects on the postoperative morbidity.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2013
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2013
CompletedFirst Submitted
Initial submission to the registry
December 30, 2013
CompletedFirst Posted
Study publicly available on registry
January 6, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2014
CompletedResults Posted
Study results publicly available
December 3, 2014
CompletedDecember 3, 2014
November 1, 2014
10 months
December 30, 2013
November 23, 2014
November 30, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Complication
complication is subhepatic fluid collection with abscess or subhepatic hematoma or bile leakage.
2 weeks
Secondary Outcomes (3)
Operative Time
1day
Postoperative Hospital Stay
2weeks
Postoperative Pain Score
6hr after operation - 24hr after operation - 48hr after operation
Study Arms (2)
Drain insertion
EXPERIMENTALLaparoscopic cholecystectomy with drain insertion is performed in this arm.
no drain insertion
NO INTERVENTIONIn this arm, investigators perform only laparoscopic cholecystectomy, and not insert a drain
Interventions
In the drain insertion group, investigators use the closed suction drain through a lateral 5-mm trocar and placed it in right subhepatic space
Eligibility Criteria
You may qualify if:
- acutely inflamed gallbladder
You may not qualify if:
- chronic cholecystitis
- gallbladder polyp or gallbladder cancer
- the patient who underwent reduced port surgery
- the patient who underwent common bile duct exploration during the operation
- the patient who underwent concurrent operation
- the patient who had past history of upper abdominal surgery
- the patient who had a immunodeficiency state
- the case which had a suspicion of delayed bile leakage
- the case which had a incomplete cystic duct ligation
- the patient who underwent open conversion surgery during the operation
- the patient who had a high risk of bleeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Seoul St. Mary's Hospitallead
- Incheon St.Mary's Hospitalcollaborator
Study Sites (1)
Department of HBP Surgery, Seoul St. Mary's hospital
Seoul, Seocho-gu, Banopo-dong, 137-701, South Korea
Related Publications (1)
Kim EY, Lee SH, Lee JS, Yoon YC, Park SK, Choi HJ, Yoo DD, Hong TH. Is routine drain insertion after laparoscopic cholecystectomy for acute cholecystitis beneficial? A multicenter, prospective randomized controlled trial. J Hepatobiliary Pancreat Sci. 2015 Jul;22(7):551-7. doi: 10.1002/jhbp.244. Epub 2015 Apr 16.
PMID: 25881915DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Teaho Hong
- Organization
- Seoul St Mary's hospital
Study Officials
- PRINCIPAL INVESTIGATOR
Taeho Hong
SeoulSt.Mary's hospital
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant proffesor
Study Record Dates
First Submitted
December 30, 2013
First Posted
January 6, 2014
Study Start
November 1, 2013
Primary Completion
September 1, 2014
Study Completion
October 1, 2014
Last Updated
December 3, 2014
Results First Posted
December 3, 2014
Record last verified: 2014-11