Single Port Access (SPA) Cholecystectomy Versus Standard Laparoscopic Cholecystectomy
Recruitment status was Recruiting
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Purpose
Background:
Single port access surgery is a rapidly progressing surgical approach which allows performance of standard laparoscopic surgery through a single transparietal port instead of multiple port accesses.
Objective:
Demonstrate the validity of Single port access (SPA) cholecystectomy compared to multiple ports laparoscopic cholecystectomy.
Hypothesis:
SPA cholecystectomy is associated with decreased parietal and body image trauma compare to multiple ports laparoscopic cholecystectomy. SPA cholecystectomy should be associated with better cosmetic results, may improve postoperative recovery due to lower parietal pain. SPA cholecystectomy may also be associated with decreased rate of parietal complications as lower numbers of transparietal port are placed.
Methods:
All patients offered cholecystectomy, either SPA or multiport cholecystectomy, included in the study will have recognized biliary pathology for which formal indication cholecystectomy are recognized internationally.
Surgical technique, either for SPA cholecystectomy or for multiple ports cholecystectomy, will be the same except, that one surgical technique is achieved through a single transparietal port and the other through multiple ports.
Randomization will be performed before surgeries after patients have given their informed consent to the study.
No specific test or cost will be necessitated by the study. Patients will be informed orally and will receive a short study summary, allowing them to give an informed consent.
Endpoints:
- Morbidity
- Body image and Cosmetic results
- Post-operative pain (opioid sparing effect)
- Operative time
- Hospital stay
| Condition | Intervention | Phase |
|---|---|---|
|
Symptomatic Gallbladder Stones Cholecystitis Biliary Pancreatitis |
Procedure: SPA cholecystectomy Procedure: Laparoscopic cholecystectomy |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Single Port Access Cholecystectomy Versus Standard Laparoscopic Cholecystectomy - Randomized Study |
- Cosmesis, body image and quality of life scale [ Time Frame: at 1 month ] [ Designated as safety issue: No ]
- Post-operative morbidity [ Time Frame: at 30 days ] [ Designated as safety issue: Yes ]
- Post-operative pain [ Time Frame: 10 days ] [ Designated as safety issue: No ]
- Operative time [ Time Frame: day 1 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 200 |
| Study Start Date: | February 2009 |
| Estimated Primary Completion Date: | February 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
1
SPA cholecystectomy
|
Procedure: SPA cholecystectomy
SPA cholecystectomy
|
|
2
laparoscopic cholecystectomy
|
Procedure: Laparoscopic cholecystectomy
Laparoscopic cholecystectomy
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age more than 18 years
Exclusion Criteria:
- Contraindication to laparoscopy
- Liver disease
- Cognitive trouble
Contacts and Locations| Contact: Pascal Bucher, MD | +41223723311 ext 7958420 | pascal.bucher@hcuge.ch |
| Switzerland | |
| University Hospital Geneva | Recruiting |
| Geneva, Switzerland, 1211 | |
| Contact: Pascal Bucher, MD ¦41223723311 ext 7958420 pascal.bucher@hcuge.ch | |
| Principal Investigator: Pascal Bucher, MD | |
| Principal Investigator: | Pascal Bucher, MD | University Hospital, Geneva |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Bucher Pascal, MD, University Hospital Geneva |
| ClinicalTrials.gov Identifier: | NCT00904865 History of Changes |
| Other Study ID Numbers: | CER-08-145 |
| Study First Received: | May 19, 2009 |
| Last Updated: | May 19, 2009 |
| Health Authority: | Switzerland: Swissmedic |
Keywords provided by University Hospital, Geneva:
|
Single port access Laparoscopy cholecystectomy cholangiography cosmesis |
Additional relevant MeSH terms:
|
Cholecystitis Acalculous Cholecystitis Cholelithiasis Cholecystolithiasis Gallstones Pancreatitis |
Gallbladder Diseases Biliary Tract Diseases Digestive System Diseases Calculi Pathological Conditions, Anatomical Pancreatic Diseases |
ClinicalTrials.gov processed this record on June 17, 2013