Laparo-endoscopic Single Site (LESS) Cholecystectomy Versus Standard LAP-CHOLE

Launched by SAN GIOVANNI ADDOLORATA HOSPITAL · Apr 19, 2011

Keywords

ClinConnect Summary

The aim of this study is to assess possible differences between the LESS approach and the standard laparoscopic approach to cholecystectomy. In particular, the Postoperative Quality of Life (QoL) will be investigated by analyzing the followings: length of hospital stay (LoS), postoperative pain, cosmetics and the results of SF 36 questionnaire. Furthermore, operative time, conversion to standard LC rate, difficulty of exposure, difficulty of dissection, and complication rate will be compared.

Altman nomograms were used to calculate the presumed sample size of an actual RCT, arbitrarily ass...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • age 18-75
• • BMI \< 35
• • no previous upper GI or right colonic surgery with severe adhesions gallstones with absence of clinical signs of acute cholecystitis, bile duct stones or pancreatitis.
• • ASA I-III
• • Nassar grade of difficulty in performing a laparoscopic cholecystectomy I-III
• • diagnosis: cholelithiasis
• Exclusion Criteria:
• • cholecystitis
• • existence of common duct stones
• • presence of biliary cancer
• • Previous abdominal surgery on organs of the supramesocolic space