Study Results
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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UNKNOWN
NA
100 participants
INTERVENTIONAL
2020-06-30
2021-06-30
Brief Summary
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Detailed Description
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2. Inclusion criteria
(1) consistent with the indications of cholecystectomy (2) no cholangitis or pancreatitis (3) no diabetes (4) the operation time is less than or equal to 1 hour 3.Exclusion criteria
1. patients with acute cholecystitis
2. cystic arterial variation causes related complications
3. patients receiving analgesic drugs after surgery 4.research methods 4.1 Grouping method: random number table method was applied to randomly divide into 2 groups.
4.2 surgical method:Laparoscopic cholecystectomy with the preservation of the main cystic artery
1. General anesthesia, use laryngeal mask
2. making CO2 pneumoperitoneum through the superior border of umbilical pneumoperitoneum pressure 12 -- 14 mmHg(1 mmHg=0.(133 kPa), the puncture sleeve was placed under laparoscopy according to the three-hole method.
3. To expose the gallbladder triangle, cut the serous membrane of the triangular region along the gallbladder tube, expose the neck and the left half of the gallbladder tube, push the rest tissue of the triangular region (including the main cystic artery, etc.) to the right, and separate the right half of the gallbladder tube, exposing the whole gallbladder tube.
4. Cutting off after clipping the gallbladder tube;
5. Turn up the gallbladder neck, cut off the superficial and deep branches of the gallbladder artery by electric hook along the gallbladder wall.
6. Remove the gallbladder. through the umbilical hole and close the puncture hole. 4.3 main outcome measures
(1) General data of patients (gender, age, BMI, etc.); (2) Operation time, intraoperative blood loss, surgical complications (delayed hemorrhage, biliary tract injury, etc.) incidence.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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the experimental group
The experimental group operated by the left side of laparoscopic cholecystectomy preserving the main cystic artery.
The operation area of cystic artery dissection is moved from the traditional triangular area to the gallbladder neck plane, away from the hepatic duct and hepatic portal.Only the superficial and even more minute branches of the cystic artery were isolated and coagulated.
preserve the main cystic artery
The experimental group preserve the main cystic artery, and the control group cut off the main cystic artery
the control group
treated with conventional laparoscopic cholecystectomy cutting the cystic artery
No interventions assigned to this group
Interventions
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preserve the main cystic artery
The experimental group preserve the main cystic artery, and the control group cut off the main cystic artery
Eligibility Criteria
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Inclusion Criteria
2. no cholangitis or pancreatitis
3. no diabetes
4. the operation time is less than or equal to 1 hour
Exclusion Criteria
2. cystic arterial variation causes related complications
3. patients receiving analgesic drugs after surgery
20 Years
60 Years
ALL
No
Sponsors
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Beijing Luhe Hospital
OTHER
Responsible Party
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Locations
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Beijing Luhe Hospital affiliated to the Capital Medical University
Beijing, Tongzhou, China
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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2018-LHKY-001-02
Identifier Type: -
Identifier Source: org_study_id
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