Fundus-First Laparoscopic Cholecystectomy in Difficult Gallbladders: A Safe Alternative Technique

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

Total Enrollment

124 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-01-05

Study Completion Date

2024-04-10

Brief Summary

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This retrospective cross-sectional study evaluated the safety and effectiveness of the fundus-first laparoscopic cholecystectomy (FFLC) technique in patients with difficult gallbladders. A total of 124 patients who underwent FFLC between 2023 and 2024 were reviewed. The study assessed operative time, intraoperative complications, conversion rates, and postoperative outcomes. The results suggest that FFLC is a safe and feasible approach that can reduce the need for conversion to open surgery in complex cases. The study was conducted at a private hospital in Istanbul, Turkey

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Detailed Description

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This retrospective study was conducted at a private healthcare institution without a formal IRB. All patient data were anonymised before analysis, and written informed consent was obtained from all patients for the academic use of their clinical data

Conditions

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Cholelithiasis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Conventional Laparoscopic Cholecystectomy

Patients who underwent standard laparoscopic cholecystectomy, starting dissection at Calot's triangle. This technique served as the comparator for assessing safety and conversion rates relative to the fundus-first approach.

Conventional Laparoscopic Cholecystectomy

Intervention Type PROCEDURE

Standard laparoscopic cholecystectomy technique starting at Calot's triangle. Used as the comparator group in this study.

Fundus-First Laparoscopic Cholecystectomy

Patients with difficult gallbladders (Nassar Grade 3-4) who underwent laparoscopic cholecystectomy using the fundus-first technique. This approach involved starting dissection at the gallbladder fundus and proceeding retrogradely toward Calot's triangle to improve safety in complex cases.

Fundus-First Laparoscopic Cholecystectomy

Intervention Type PROCEDURE

Laparoscopic cholecystectomy technique initiated at the gallbladder fundus and carried out retrogradely toward Calot's triangle. This method was applied to difficult gallbladders (Nassar Grade 3-4) to improve operative safety and avoid conversion to open surgery.

Interventions

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Conventional Laparoscopic Cholecystectomy

Standard laparoscopic cholecystectomy technique starting at Calot's triangle. Used as the comparator group in this study.

Intervention Type PROCEDURE

Fundus-First Laparoscopic Cholecystectomy

Laparoscopic cholecystectomy technique initiated at the gallbladder fundus and carried out retrogradely toward Calot's triangle. This method was applied to difficult gallbladders (Nassar Grade 3-4) to improve operative safety and avoid conversion to open surgery.

Intervention Type PROCEDURE

Other Intervention Names

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Antegrade Laparoscopic Cholecystectomy Retrograde laparoscopic cholecystectomy

Eligibility Criteria

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Inclusion Criteria

* Patients who underwent laparoscopic cholecystectomy at the study center between January 2023 and March 2024
* Patients diagnosed with difficult gallbladder (Nassar Grade 3-4)
* Age ≥ 18 years
* Complete clinical data available for analysis