Pain, Postoperative Clinical Trial
Official title:
Efficacy of Transumbilical Versus Standard Laparoscopic Cholecystectomy on Postoperative Pain
This is a trial to evaluate if single port laparoscopic cholecystectomy causes less pain than conventional laparoscopic cholecystectomy.
This study is a randomized, two-arm, double-blinded three-center trial to compare single-port
transumbilical laparoscopic cholecystectomy with conventional 4-port laparoscopic
cholecystectomy. 120 patients are included with a 1:1 randomization. Three centers
participate in the trial.
Inclusion criteria: Female patients, ASA I-III, age between 18 and 75 years, elective
laparoscopic cholecystectomy because of biliary pain or recent uncomplicated biliary
pancreatitis.
Exclusion criteria: Expected poor compliance, history of cholecystitis or severe
pancreatitis, previous open upper abdominal surgery, pregnancy or lactation, preoperative
chronic pain or conversion from laparoscopic to open surgery.
Pain and nausea is measured on VAS before the operation and 3 hrs, 1 day, 2 days and 3 days
after the operation.
Cosmesis is evaluated after 28 days.
Patients are telephone-interviewed after 12 months and asked about port hernia formation. If
hernia is suspected patients are called in for an abdominal ultrasonography.
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