Umbilical vs Paraumbilical Trocar Placement in Patients Undergoing Elective Laparoscopic Cholecystectomy

NCT ID: NCT04347642

Last Updated: 2020-07-09

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-07

Study Completion Date

2021-09-15

Brief Summary

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The aim of this study will be to assess the incisional hernia rate of umbilical or paraumbilical port 12 months after laparoscopic cholecystectomy.

Patients will be randomized into 2 groups:

* G1: 12mm Umbilical port will be inserted in the umbilical region, with open access and using a Hasson port
* G2: 12 mm paraumbilical port will be inserted laterally to the midline, with close access and using and optical port.

Incisional hernia at the level of this port insertion will be assessed by physical examination and, in case of doubst, by ultrasonography, 12 months after surgery.

Detailed Description

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The aim of this study will be to assess the incisional hernia rate of umbilical or paraumbilical port 12 months after laparoscopic cholecystectomy.

Patients will be randomized into 2 groups:

* G1: 12mm Umbilical port will be inserted in the umbilical region, with open access and using a Hasson port. Pneumoperitoneum will be done by this Hasson port.
* G2: 12 mm paraumbilical port will be inserted laterally to the midline, with close access and using and optical port, traversing the rectus abdominal muscle. Pneumoperitoneum will be previously done using a Veress needle.

Incisional hernia at the level of this port insertion will be assessed by physical examination and, in case of doubst, by ultrasonography, 12 months after surgery.

Conditions

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Incisional Hernia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Umbilical port

A Hasson port will be inserted at the level of the umbilicus,in the midline, traversing only aponeurotic layers.

Group Type ACTIVE_COMPARATOR

Umbilical port placement

Intervention Type PROCEDURE

The port will be inserted in the midline at the level of the umbilicus.

Paraumbilical port

A bladeless 12mm port will be inserted lateral to the midline, traversing aponeurotic layers and rectus abdominis muscle.

Group Type EXPERIMENTAL

Paraumbilical port placement

Intervention Type PROCEDURE

The port will be inserted 3-4cm laterally to the midline at the level of the umbilicus.

Interventions

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Umbilical port placement

The port will be inserted in the midline at the level of the umbilicus.

Intervention Type PROCEDURE

Paraumbilical port placement

The port will be inserted 3-4cm laterally to the midline at the level of the umbilicus.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Elective laparoscopic cholecystectomy
* Acceptance to participate in the study and sign of informed consent form

Exclusion Criteria

* A gallstone larger than 10mm observed at preoperative ultrasonography
* Coexistence of umbilical hernia or previous umbilical hernioplasty
* Previous laparotomy involving the umbilical region
* Emergency surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital General Universitario Elche

OTHER

Sponsor Role lead

Responsible Party

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Jaime Ruiz-Tovar, MD, PhD

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gilberto Gonzalez

Role: STUDY_CHAIR

Centro PDH

Locations

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Gilberto Gonzalez

Guadalajara, , Mexico

Site Status RECRUITING

Jaime Ruiz-Tovar

Madrid, Introducir Provincia O Estado, Spain

Site Status RECRUITING

Countries

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Mexico Spain

Central Contacts

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Jaime Ruiz-Tovar

Role: CONTACT

+34630534808

Carolina LLavero

Role: CONTACT

649593020

Facility Contacts

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Gilberto Gonzalez

Role: primary

+52 33 3848 2100

Jaime Ruiz-Tovar

Role: primary

+34630534808

Other Identifiers

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Garcilaso 2020/1

Identifier Type: -

Identifier Source: org_study_id

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