The Impact of Saline Temperature and Local Anesthetic Adjuvants on Postoperative Shoulder Pain and Inflammatory Marker Levels Following Laparoscopic Cholecystectomy
NCT07450781 · Status: ENROLLING_BY_INVITATION · Phase: NA · Type: INTERVENTIONAL · Enrollment: 216
Last updated 2026-03-17
Summary
Laparoscopic cholecystectomy has become the gold standard for the operative treatment of gallbladder disease due to its minimally invasive nature and improved patient outcomes. However, postoperative pain remains a significant concern following this procedure, affecting patient comfort, recovery, potential for same day discharge and overall satisfaction. However, visceral pain, port-site pain, and referred shoulder pain are occasionally reported in laparoscopic cholecystectomy patients . Postoperative shoulder pain is a common complication following laparoscopic cholecystectomy, often attributed to diaphragmatic irritation.
Conditions
- Shoulder Pain , Laparoscopic Cholecystectomy
Interventions
- OTHER
-
Room-temperature saline (25-30 ml/kg ) irrigation without local anesthetic.
Room-temperature saline (25-30 ml/kg ) irrigation without local anesthetic.
- OTHER
-
Room-temperature saline (25-30 ml/kg l) with local anesthetic ( 0.25% bupivacaine according to body weight).
Room-temperature saline (25-30 ml/kg l) with local anesthetic ( 0.25% bupivacaine according to body weight).
- OTHER
-
Warm saline (37°C, 25-30 ml/kg ) irrigation without local anesthetic.
Warm saline (37°C, 25-30 ml/kg ) irrigation without local anesthetic.
- OTHER
-
Warm saline (37°C, 25-30 ml/kg) with local anesthetic (0.25% bupivacaine).
Warm saline (37°C, 25-30 ml/kg) with local anesthetic (0.25% bupivacaine).
- OTHER
-
No saline irrigation.
No saline irrigation.
- OTHER
-
No saline irrigation but with local anesthetic (local anesthetic instillation at trocar sites).
No saline irrigation but with local anesthetic (local anesthetic instillation at trocar sites).
Sponsors & Collaborators
-
Alexandria University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-01
- Primary Completion
- 2026-08-01
- Completion
- 2027-08-01
Countries
- Egypt
Study Locations
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