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

NCT07113704 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 124

Last updated 2025-08-11

No results posted yet for this study

Summary

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

Conditions

Interventions

PROCEDURE

Conventional Laparoscopic Cholecystectomy

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

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.

Sponsors & Collaborators

  • KANAN ISMAYILZADA, MD

    lead OTHER

Principal Investigators

  • KANAN ISMAYILZADA, MD · Medicana Ataşehir International Hospital, ISTANBUL.TURKEY

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2023-01-05
Primary Completion
2024-04-01
Completion
2024-04-10

Countries

  • Turkey (Türkiye)

Study Locations

More Related Trials

Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07113704 on ClinicalTrials.gov