Cholelithiasis Clinical Trial
Official title:
Prospective Randomized Clinical Trial Comparing Laparoscopic Cholecystectomy and Hybrid Natural Orifice Translumenal Endoscopic Surgery (NOTES)
The purpose of the study is to determine the feasibility of cholecystectomy made by a transvaginal approach with a NOTES procedure (natural orifice translumenal endoscopic surgery).
Natural orifice transluminal endoscopic surgery (NOTES) makes it possible to perform
intraperitoneal surgical procedures with a minimal number of access points in the abdominal
wall. At the present time these procedures are hybrids. It is expected a better cosmetic
result and lower incidence in parietal complications in front of laparoscopic
cholecystectomy, but is necessary to investigate that these benefits should not be
associated with complications of the new access to abdominal cavity.
Methods. Prospective randomized clinical series of 60 female patients with gallstones that
underwent endoscopic surgery, 20 of them operated with conventional laparoscopic approach,
20 by transumbilical endoscopic approach and 20 of them by transvaginal endoscopic approach.
Variables as surgical wound infection, urinary tract infection, evisceration, hernia,
mortality and other complications will be analyzed.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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