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CompletedNCT01571479Updated Apr 5, 2012

The Feasibility and Safety of a Three-Port Laparoscopic Cholecystectomy Using a 2-mm Mini-Instrument

An interventional study of 2- mini-instrument in Gallbladder Disease, sponsored by Inje University. Completed at 1 site in Korea, Republic of. Per ClinicalTrials.gov, last updated 2012-04-05.

Sponsored by Inje University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
133
Allocation
Non-randomized
Sex
All
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Study summary

The aim of this study was to show that this technique is feasible, safe and easily reproducible and to evaluate the selection criteria for a three-port laparoscopic cholecystectomy using a 2-mm mini-port.

Read the detailed description

Since the first four-port laparoscopic cholecystectomy (LC) was reported in 1987, various surgical options for LC have been developed. Recently, single port LC (SPLC) has been increasingly performed to minimize tissue trauma, improve cosmesis and decrease postoperative pain for patients. Some surgeons suggest that the four- or three-port LC using mini-ports could be as safe, effective, economical and cosmetic as SPLC. For this reason, the investigators started M-LC for patients with benign gallbladder disease in April 2010.

Prospectively collected data from 133 patients who underwent LC for benign gallbladder disease between April 2010 and April 2011 were retrospectively reviewed.

The patient's selection for M-LC was determined by surgeon's judgment based on 'laparoscopic surgical view' after inserting the laparoscope in the operating room.

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Conditions studied

  • Gallbladder Disease

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Keywords

  • laparoscopic cholecystectomy
  • mini-instrument
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In context

Gallbladder Diseases

91 studies on the registry are indexed under Gallbladder Diseases; 19 are open to participants now.

This study's enrollment of 133 is above the median of 84 across 59 interventional studies indexed under Gallbladder Diseases.

Browse Gallbladder Diseases studies →

Lead sponsor

Inje University is the lead sponsor of 90 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • all patients required laparoscopic cholecystectomy for benign gallbladder diseases.

Exclusion criteria

Exclusion Criteria:

  • open cholecystectomy
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
133 participants (actual)

Study arms

  • No intervention
    2-mm mini-instrument (M-LC)

    M-LC is three-port laparoscopic cholecystectomy using a 2-mm mini-instrument.

    Procedure: 2- mini-instrument

  • No intervention
    conventional instrument(C-LC)

    C-LC is conventional three port laparoscopic cholecystectomy

Interventions

  • Procedure2- mini-instrument

    The patient was positioned in the supine position with the head and right side up. Under general anesthesia, pneumoperitoneum (12 mmHg) was established after an 11-mm port was placed through 11-mm transumbilical incision by the open method. A 10-mm 0-degree laparoscope was inserted through this umbilical port. A 5-mm trocar was then placed in the epigastric area, and the surgeon determined through 'laparoscopic surgical view' whether the 2-mm mini-instrument could be used as the right subcostal port . If the 2-mm mini-instrument could be used as the right subcostal port, a 2-mm trocar was inserted . If not, a 5-mm trocar was inserted for the right subcostal port. Therefore, this point is the unique difference between the two groups.

    Also known as: micro-instrument

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What researchers measure

Primary outcomes

  1. Number of participants with complications or open conversion to M-LC

    Time frame: one year

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Study locations

1 site
  • University of Inje College of Medicine, Haeundae Paik Hopsital
    Busan, 612-030, Korea, Republic of
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References and documents

Publications

  • Aprea G, Coppola Bottazzi E, Guida F, Masone S, Persico G. Laparoendoscopic single site (LESS) versus classic video-laparoscopic cholecystectomy: a randomized prospective study. J Surg Res. 2011 Apr;166(2):e109-12. doi: 10.1016/j.jss.2010.11.885. Epub 2010 Dec 22. PubMed 21227454 ↗
  • Bisgaard T, Klarskov B, Trap R, Kehlet H, Rosenberg J. Microlaparoscopic vs conventional laparoscopic cholecystectomy: a prospective randomized double-blind trial. Surg Endosc. 2002 Mar;16(3):458-64. doi: 10.1007/s00464-001-9026-5. Epub 2001 Nov 16. PubMed 11928028 ↗
  • Chow A, Purkayastha S, Aziz O, Pefanis D, Paraskeva P. Single-incision laparoscopic surgery for cholecystectomy: a retrospective comparison with 4-port laparoscopic cholecystectomy. Arch Surg. 2010 Dec;145(12):1187-91. doi: 10.1001/archsurg.2010.267. PubMed 21173293 ↗
  • Curcillo PG 2nd, Wu AS, Podolsky ER, Graybeal C, Katkhouda N, Saenz A, Dunham R, Fendley S, Neff M, Copper C, Bessler M, Gumbs AA, Norton M, Iannelli A, Mason R, Moazzez A, Cohen L, Mouhlas A, Poor A. Single-port-access (SPA) cholecystectomy: a multi-institutional report of the first 297 cases. Surg Endosc. 2010 Aug;24(8):1854-60. doi: 10.1007/s00464-009-0856-x. Epub 2010 Feb 5. PubMed 20135180 ↗
  • Edwards C, Bradshaw A, Ahearne P, Dematos P, Humble T, Johnson R, Mauterer D, Soosaar P. Single-incision laparoscopic cholecystectomy is feasible: initial experience with 80 cases. Surg Endosc. 2010 Sep;24(9):2241-7. doi: 10.1007/s00464-010-0943-z. Epub 2010 Mar 3. PubMed 20198490 ↗
  • Elsey JK, Feliciano DV. Initial experience with single-incision laparoscopic cholecystectomy. J Am Coll Surg. 2010 May;210(5):620-4, 624-6. doi: 10.1016/j.jamcollsurg.2009.12.030. PubMed 20421017 ↗
  • Franklin ME Jr, Jaramillo EJ, Glass JL, Trevino JM, Berghoff KR. Needlescopic cholecystectomy: lessons learned in 10 years of experience. JSLS. 2006 Jan-Mar;10(1):43-6. PubMed 16709356 ↗
  • Gagner M, Garcia-Ruiz A. Technical aspects of minimally invasive abdominal surgery performed with needlescopic instruments. Surg Laparosc Endosc. 1998 Jun;8(3):171-9. PubMed 9649038 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 5, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01571479
Lead sponsor
Inje University
Responsible party
Kwan Woo Kim (Haeundae paik hospital, Inje University) — Principal investigator
First posted
Apr 5, 2012
Start date
Apr 2010
Primary completion
Apr 2011
Completion
Mar 2012
Last update
Apr 5, 2012

Study contacts

kwan woo kim
principal investigator · University of Inje College of Medicine, Haeundae Paik Hopsital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2012. You cannot join it, but the record below documents what was studied.

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