Extent of Surgical Trauma in Open and Laparoscopic Cholecystectomy

NCT ID: NCT01077115

Last Updated: 2010-02-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-06-30

Study Completion Date

2006-09-30

Brief Summary

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The aim of this work is to evaluate which of the two types of operation (traditional/open and laparoscopic) has more impact on patients who were operated electively due to their chronic calculous cholecystitis.

Detailed Description

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The prospective, single center, randomized study includes 120 patients who are operated electively - 60 patients operated laparoscopically and 60 patients operated traditionally. Biohumoral and endocrine parameters of response to trauma are determined from 24 hour urine and blood: adrenalin, noradrenalin, metabolites of corticosteroid hormone - 17- hydroxyl and 17- keto steroid (HPLC method), C reactive protein and albumin, glycemia, creatine phosphokinase, lactate dehydrogenase, sedimentation of erythrocytes and serum concentration of potassium.

Conditions

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Chronic Calculous Cholecystitis

Keywords

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Cholecystectomy Cholecystitis Laparoscopy Cholelithiasis Operative trauma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Laparoscopic cholecystectomy

Group Type EXPERIMENTAL

Laparoscopic cholecystectomy

Intervention Type PROCEDURE

Open cholecystectomy

Group Type ACTIVE_COMPARATOR

Open Surgery

Intervention Type PROCEDURE

Interventions

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Laparoscopic cholecystectomy

Intervention Type PROCEDURE

Open Surgery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Chronic Calculous Cholecystitis

Exclusion Criteria

* Previous Biliary Surgery
* Cholangitis
* Obstructive jaundice
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical School of Podgorica, Montenegro

UNKNOWN

Sponsor Role collaborator

General Hospital Berane, Montenegro

UNKNOWN

Sponsor Role collaborator

Ministry of Health, Montenegro

OTHER_GOV

Sponsor Role lead

Responsible Party

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Ministry of Health, Montenegro

Principal Investigators

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Miodrag Radunovic, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Ministry of Health, Republic of Montenegro

Locations

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Ministry of Health

Podgorica, , Montenegro

Site Status

Countries

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Montenegro

References

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Donald RA, Perry EG, Wittert GA, Chapman M, Livesey JH, Ellis MJ, Evans MJ, Yandle T, Espiner EA. The plasma ACTH, AVP, CRH and catecholamine responses to conventional and laparoscopic cholecystectomy. Clin Endocrinol (Oxf). 1993 Jun;38(6):609-15. doi: 10.1111/j.1365-2265.1993.tb02142.x.

Reference Type BACKGROUND
PMID: 8392916 (View on PubMed)

Crema E, Ribeiro EN, Hial AM, Alves Junior JT, Pastore R, Silva AA. Evaluation of the response of cortisol, corticotropin and blood platelets kinetics after laparoscopic and open cholecystectomy. Acta Cir Bras. 2005 Sep-Oct;20(5):364-7. doi: 10.1590/s0102-86502005000500005. Epub 2005 Sep 5.

Reference Type BACKGROUND
PMID: 16186960 (View on PubMed)

Mrksic M, Cabafi Z, Feher I, Mirkovic M. [Surgical trauma in laparoscopic and classical cholecystectomy]. Med Pregl. 2001 Jul-Aug;54(7-8):327-31. Croatian.

Reference Type BACKGROUND
PMID: 11905180 (View on PubMed)

Bisgaard T, Rosenberg J, Kehlet H. From acute to chronic pain after laparoscopic cholecystectomy: a prospective follow-up analysis. Scand J Gastroenterol. 2005 Nov;40(11):1358-64. doi: 10.1080/00365520510023675.

Reference Type BACKGROUND
PMID: 16334446 (View on PubMed)

Ros A, Nilsson E. Abdominal pain and patient overall and cosmetic satisfaction one year after cholecystectomy: outcome of a randomized trial comparing laparoscopic and minilaparotomy cholecystectomy. Scand J Gastroenterol. 2004 Aug;39(8):773-7. doi: 10.1080/00365520410005540.

Reference Type BACKGROUND
PMID: 15513364 (View on PubMed)

Schirmer BD, Winters KL, Edlich RF. Cholelithiasis and cholecystitis. J Long Term Eff Med Implants. 2005;15(3):329-38. doi: 10.1615/jlongtermeffmedimplants.v15.i3.90.

Reference Type BACKGROUND
PMID: 16022643 (View on PubMed)

Chen L, Tao SF, Xu Y, Fang F, Peng SY. Patients' quality of life after laparoscopic or open cholecystectomy. J Zhejiang Univ Sci B. 2005 Jul;6(7):678-81. doi: 10.1631/jzus.2005.B0678.

Reference Type BACKGROUND
PMID: 15973772 (View on PubMed)

Nilsson E, Ros A, Rahmqvist M, Backman K, Carlsson P. Cholecystectomy: costs and health-related quality of life: a comparison of two techniques. Int J Qual Health Care. 2004 Dec;16(6):473-82. doi: 10.1093/intqhc/mzh077.

Reference Type BACKGROUND
PMID: 15557357 (View on PubMed)

Agnifili A, Ibi I, Guadagni S, Verzaro R, Gianfelice F, Mancini E, De Bernardinis G, Silvi B, Leonardis F. [Perioperative pain and stress: a comparison between video laparoscopic cholecystectomy and "open" cholecystectomy]. G Chir. 1993 Sep;14(7):344-8. Italian.

Reference Type BACKGROUND
PMID: 8286176 (View on PubMed)

Hakanson E, Rutberg H, Jorfeldt L, Wiklund L. Endocrine and metabolic responses after standardized moderate surgical trauma: influence of age and sex. Clin Physiol. 1984 Dec;4(6):461-73. doi: 10.1111/j.1475-097x.1984.tb00132.x.

Reference Type BACKGROUND
PMID: 6542833 (View on PubMed)

Mealy K, Gallagher H, Barry M, Lennon F, Traynor O, Hyland J. Physiological and metabolic responses to open and laparoscopic cholecystectomy. Br J Surg. 1992 Oct;79(10):1061-4. doi: 10.1002/bjs.1800791024.

Reference Type BACKGROUND
PMID: 1422720 (View on PubMed)

Kiviluoto T, Siren J, Luukkonen P, Kivilaakso E. Randomised trial of laparoscopic versus open cholecystectomy for acute and gangrenous cholecystitis. Lancet. 1998 Jan 31;351(9099):321-5. doi: 10.1016/S0140-6736(97)08447-X.

Reference Type BACKGROUND
PMID: 9652612 (View on PubMed)

Johansson M, Thune A, Nelvin L, Lundell L. Randomized clinical trial of day-care versus overnight-stay laparoscopic cholecystectomy. Br J Surg. 2006 Jan;93(1):40-5. doi: 10.1002/bjs.5241.

Reference Type BACKGROUND
PMID: 16329083 (View on PubMed)

Udelsman R, Chrousos GP. Hormonal responses to surgical stress. Adv Exp Med Biol. 1988;245:265-72. doi: 10.1007/978-1-4899-2064-5_21.

Reference Type BACKGROUND
PMID: 2852458 (View on PubMed)

Baxter JN, O'Dwyer PJ. Pathophysiology of laparoscopy. Br J Surg. 1995 Jan;82(1):1-2. doi: 10.1002/bjs.1800820102. No abstract available.

Reference Type BACKGROUND
PMID: 7881922 (View on PubMed)

Other Identifiers

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MOHMNE001

Identifier Type: -

Identifier Source: org_study_id