Actively Recruiting

Phase Not Applicable
Age: 18Years - 70Years
All Genders
NCT06074679

Clinical Study of Single Incision Laparoscopic Cholecystectomy in the Treatment of Patients With Acute Cholecystitis

Led by Second Affiliated Hospital, School of Medicine, Zhejiang University · Updated on 2024-11-21

600

Participants Needed

5

Research Sites

156 weeks

Total Duration

On this page

Sponsors

S

Second Affiliated Hospital, School of Medicine, Zhejiang University

Lead Sponsor

C

Changxing Branch, Second Affiliated Hospital, School of Medicine, Zhejiang University

Collaborating Sponsor

AI-Summary

What this Trial Is About

Gallstone is a common disease in China.At present, the prevalence of gallstones in China is 15 %, and about 210 million people are sick. Acute cholecystitis is acute gallbladder inflammation, is one of the main complications of cholelithiasis or gallstones. The removal of gallbladder and gallstones in patients with acute cholecystitis in the presence of biliary pain will prevent the recurrence of gallbladder and reduce the risk of cholecystitis progression. If gallbladder perforation is not treated in time, the mortality rate is 30 %. Acute acalculous cholecystitis without treatment will be life-threatening, with a mortality rate of up to 50 %. At present, the vast majority of patients with acute cholecystitis are treated with 4-hole traditional laparoscopic cholecystectomy and open cholecystectomy. Their postoperative quality of life, pain and scar-related complications, remain major factors for patients.In recent years, with the renewal of the concept of minimally invasive surgery and the continuous advancement of instruments and technology, single-incision laparoscopic cholecystectomy has also maximized the quality of life after surgery and reduced postoperative pain and scar-related complications. At present, there are few reports on randomized controlled clinical trials of SILC in patients with acute cholecystitis, and there is a lack of large sample size studies.Due to the difficulty of SILC operation, the longer learning curve, the different equipment conditions and technical characteristics of each center, and the lack of standardized training, there is no effective consensus on the application indications and operation procedures of SILC in acute cholecystitis surgery. Based on the current status, the purpose of this study was to investigate the effect of SILC on postoperative quality of life, postoperative pain, scar assessment and postoperative complications in patients with acute cholecystitis, so as to propose a standardized single incision laparoscopic operation procedure in the treatment of acute cholecystitis.

CONDITIONS

Official Title

Clinical Study of Single Incision Laparoscopic Cholecystectomy in the Treatment of Patients With Acute Cholecystitis

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Acute cholecystitis (Grade I or II)
  • Age between 18 and 70 years
Not Eligible

You will not qualify if you...

  • Liver cirrhosis with Child grade B or higher
  • History of upper abdominal surgery
  • Changes in surgical plan such as conversion to laparotomy, cholangiography, bile duct exploration, bile duct injury repair, abscess clearance, or multivisceral resection
  • Patients or families who do not agree with treatment or are lost to follow-up

AI-Screening

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Trial Site Locations

Total: 5 locations

1

Shexian Branch, Second Affiliated Hospital, School of Medicine, Zhejiang University

Huangshan City, Anhui, China

Actively Recruiting

2

2nd Affiliated Hospital, School of Medicine, Zhejiang University, China

Hangzhou, Zhejiang, China, No.88 Jiefang Road

Actively Recruiting

3

Changxing Branch, Second Affiliated Hospital, School of Medicine, Zhejiang University

Huzhou, Zhejiang, China

Actively Recruiting

4

Suichang Branch, Second Affiliated Hospital, School of Medicine, Zhejiang University

Lishui, Zhejiang, China

Actively Recruiting

5

Jiande Branch, Second Affiliated Hospital, School of Medicine, Zhejiang University

Meicheng, Zhejiang, China

Actively Recruiting

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Research Team

L

Liu Daren, MD, PhD

CONTACT

Z

Zha Liufan, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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