Day case laparoscopic cholecystectomy can be made with conventional diathermy hook starting at triangle of Calot´s. 5mm suction irrigation blunt dissection starting from the gallbladder fundus is another option. The aim is to test the hypothesis that with 5mm suction irrigation blunt dissection technique a better same day discharge and a shorter operative time can be achieved.
After initiation of general anaesthesia patients are randomized either to conventional(cautery) or 5mm suction irrigation blunt dissection group. The patients and recovery room personnel are blinded to the operative technique used.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
20
Laparoscopic cholecystectomy with diathermy hook starting from triangle of Calot
laparoscopic cholecystectomy with 5mm suction irrigation blunt dissection starting from fundus
Central fourth Health Cluster
Ha'il, Saudi Arabia
number of days for discharge after surgery
Time frame: 30 days
operative time
Time frame: 30 days
intraoperative bleeding amount
bleeding which require suction or draining
Time frame: 30 days
type of analgesic and dose
Time frame: 30 days
number of events of postoperative nausea and vomiting which require anti emetic drug
Time frame: 30 day
number of days after surgery when readmission is required
Time frame: 30 days
presence of a morbidity
number of days needed for discharge from service
Time frame: 30days
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