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> Procedures > Therapeutic or Preventive Procedure > Cholecystectomy, Laparoscopic

Cholecystectomy, Laparoscopic

Cholecystecomtoy, Laparoscopic: A minimally invasive surgical procedure to remove the gallbladder.
It involves inserting a small camera and surgical instruments through tiny incisions in the abdomen, allowing the surgeon to visualize and remove the gallbladder.
This approach typically results in faster recovery times and reduced post-operative pain compared to traditional open cholecystectomy.
Researchers can utilize PubCompare.ai to optimize their studies on this procedure, locating relevant protocols, identifying effective techniques, and enhancing the reproducibility and accuracy of their findings.

Most cited protocols related to «Cholecystectomy, Laparoscopic»

1
New Persistent Opioid Use After Surgery
Cited 47 times
The Clinformatics™ Data Mart captures administrative health claims across the United States for members of a large national managed care company affiliated with OptumInsight (Eden Prairie, MN). We examined claims from January 1, 2012 to June 30, 2015 among adults ages 18 to 64 to capture surgical procedures performed between 2013 and 2014 to account for the 12-month preoperative and 6-month postoperative study period. We included only individuals with continuous medical and prescription drug coverage to evaluate the complete health care experience. We excluded patients ages 18 and younger, as well as patients older than 64 years due to incomplete capture of Medicare Part D prescriptions claims data. The study was deemed exempt from review by the University of Michigan Institutional Review Board.
We selected 13 common elective surgical procedures, and categorized these into minor and major groups based on prior literature. Minor surgical procedures included varicose vein removal, laparoscopic cholecystectomy, laparoscopic appendectomy, hemorrhoidectomy, thyroidectomy, transurethral prostate surgeries, and parathyroidectomy. Major surgical procedures included ventral incisional hernia repair, colectomy, reflux surgery, bariatric surgery, and hysterectomy. We identified patients undergoing surgery using Current Procedural Terminology (CPT) or International Statistical Classification of Diseases and Related Health Problems (ICD9_ procedure codes (Supplemental Table 1).
We sought to determine new persistent opioid use after surgery, and included only patients who filled an opioid prescription fill either in the month prior to surgery or within two weeks after discharge. Comparable to previous studies of opioid naïve surgical populations,7 (link),8 patients who had filled one or more prescriptions for opioids 12 months to 31 days prior to their surgical procedure were excluded from the analysis (Figure 1). To account for prescriptions provided preoperatively for postoperative pain control, patients filling opioids in the 30 days prior to surgery were included, and prescriptions filled in this time was included as a covariate in the analyses. Lastly, we excluded patients who underwent additional surgical procedures during the study period using subsequent procedural codes for anesthesia in the 6-month postoperative period.
As a comparison cohort of patients who did not undergo surgery, we identified a random 10% sample patients ages 18 to 64 years of age who did not undergo surgery in the study period We included only patients in the nonoperative group who did not fill an opioid prescription during a 12 month period and did not have any codes for surgical procedures or anesthesia during this period. These patients were then given a random date of surgery. No patients had an opioid fill in the year prior to their fictitious surgery date nor did they have any anesthesia codes in the 6 months following their fictitious surgery date.
Brummett C.M., Waljee J., Goesling J., Moser S., Lin P., Englesbe M., Bohnert A., Kheterpal S, & Nallamothu B.K. (2017). New Persistent Opioid Use After Minor and Major Surgery in U.S. Adults. JAMA surgery, 152(6), e170504.
Publication 2017
Adult AN 12 Anesthesia Appendectomy Bariatric Surgery Cholecystectomy, Laparoscopic Colectomy Elective Surgical Procedures Ethics Committees, Research Hemorrhoidectomy Herniorrhaphy Hysterectomy Laparoscopy Managed Care Minor Surgical Procedures Operative Surgical Procedures Opioids Pain, Postoperative Parathyroidectomy Patient Discharge Patients Prescription Drugs Prostate Surgery, Day Thyroidectomy Varices Youth
2
Surgical Procedures and Opioid Exposure
Cited 10 times
We constructed a sample consisting of patients who underwent 1 of 11 surgical procedures during the sample period: total knee arthroplasty (TKA), total hip arthroplasty (THA), laparoscopic cholecystectomy, open cholecystectomy, laparoscopic appendectomy, open appendectomy, cesarean delivery, FESS, cataract surgery, transurethral prostate resection (TURP), or simple mastectomy. We chose these procedures because they are commonly performed. In addition, with the exception of TKA and THA, these procedures are not indicated to relieve pain and are not thought to place patients at risk for long-term pain. We identified patients who underwent these procedures by identifying inpatient or outpatient claims with a CPT code for the given procedure (eTable 1 in the Supplement). We restricted our analysis to patients aged 18 to 64 years who were continuously enrolled for a period of at least 3 calendar years, encompassing the year before the procedure and the year after. For example, for patients who received their procedure in 2003, we required that the patient be continuously enrolled for at least the time period January 1, 2002, through December 31, 2004. In addition, we excluded patients who underwent 2 or more of the 11 studied surgical procedures. Using data from pharmacy claims, we further restricted our analysis to opioid-naive patients, defined as patients who did not fill a prescription for an opioid in the 12 months prior to their procedure. A flowchart outlining the construction of the sample is provided in the eFigure in the Supplement.
Sun E.C., Darnall B.D., Baker L.C, & Mackey S. (2016). Incidence of and Risk Factors for Chronic Opioid Use Among Opioid-Naive Patients in the Postoperative Period. JAMA internal medicine, 176(9), 1286-1293.
Publication 2016
Appendectomy Cataract Extraction Cesarean Section Cholecystectomy Cholecystectomy, Laparoscopic Dietary Supplements Inpatient Knee Replacement Arthroplasty Laparoscopy Operative Surgical Procedures Opioids Outpatients Pain Patients Simple Mastectomy Total Hip Arthroplasty Transurethral Resection of Prostate
3
Predicting Difficulty in Laparoscopic Cholecystectomy
Cited 8 times
A literature review was undertaken of PubMed, Embase and Cochrane databases between January 1965 and July 2014 for publications relating to difficulty prediction in laparoscopic cholecystectomy using the search terms ‘Laparoscopic cholecystectomy or Lap chole’ and/or ‘Scoring Index or Grading system or Prediction of difficulty or Conversion to open’ in various combinations. Cross-referencing from papers retrieved in the original search identified additional articles. All studies had to be published in English literature. Case reports and data from abstracts were excluded.
Sugrue M., Sahebally S.M., Ansaloni L, & Zielinski M.D. (2015). Grading operative findings at laparoscopic cholecystectomy- a new scoring system. World Journal of Emergency Surgery : WJES, 10, 14.
Publication 2015
Cholecystectomy, Laparoscopic
4
Bariatric Surgery Trends in the US
Cited 8 times
We used data from the State Inpatient Databases (SID) which are created by the Agency for Healthcare Research and Quality (AHRQ) as part of their Healthcare Cost and Utilization Project (HCUP).13 The SID includes all inpatient discharges from short-term, acute-care, nonfederal, general, and other specialty hospitals in participating states. We used data from 12 states (2004 to 2009): Arizona, California, Florida, Iowa, Massachusetts, Maryland, North Carolina, Nebraska, New Jersey, New York, Washington, and Wisconsin. We chose these 12 States because they 1) were geographically dispersed across the United States, allowing for diversity in our sample, 2) were available for the time periods we were studying (i.e., as far back as 2004), and 3) were relatively large in terms of sample size. The discharge records from these databases contain information collected as part of billing records, including patient demographics, International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) procedures, diagnoses, expected payer, admission and discharge dates, and disposition.
We identified all patients undergoing bariatric surgery using a previously validated coding algorithm that use a combination of ICD-9-CM and Diagnostic Related Groups (DRG) codes.4 (link),7 (link),14 (link) To optimize the clinical specificity of these algorithms, we further validated the algorithm using the more clinically precise Current Procedure Terminology (CPT) codes in a cohort of Medicare beneficiaries in which we had this data available.1 (link),8 (link) To be included in the study population, patients had to have a procedure code for bariatric surgery (ICD-9-CM codes 43.89, 44.3, 44.31, 44.38, 44.39, 44.68, 44.95, 44.96, 44.97, 44.99, 44.5, 45.51 and 45.9) with a confirmatory diagnosis code for morbid obesity (ICD-9-CM codes 278.0, 278.00, 278.01, and V77.8) and a diagnosis related group (DRG) code for weight loss surgery (DRG 288 through October 1, 2007 and MS-DRG 619–621 after October 1, 2007). We excluded all patients with a diagnostic code for abdominal cancer (ICD-9 diagnosis codes: 150.0 to 159.9 or 230.1 to 230.9) to further ensure that our cohort represented only patients undergoing bariatric surgery.
For certain analyses, we subdivided our cohort into four categories according to primary procedure codes: Open roux-en-y gastric bypass (ICD-9-CM codes 44.39, 44.31), laparoscopic roux-en-y gastric bypass (44.38), laparoscopic adjustable gastric banding (44.95), and other (remaining procedures codes other than the above three categories). Because the specific ICD-9 procedure code for a laparoscopic gastric bypass procedure was not available before October 1, 2004, we considered patients with ICD-9-CM code for diagnostic laparoscopy, laparoscopic lysis of adhesions, or laparoscopic cholecystectomy (54.21, 54.51, or 51.23) in addition to a gastric bypass ICD-9-CM code as having laparoscopic gastric bypass. Because sleeve gastrectomy was infrequently performed (<1% of cases in this cohort) as a stand-alone bariatric surgical procedure during the time of this study, especially in Medicare patients, we do not include it as a separate procedure in this evaluation.
Dimick J.B., Nicholas L.H., Ryan A.M., Thumma J.R, & Birkmeyer J.D. (2013). Bariatric Surgery Complications Before vs. After Implementation of a National Policy Restricting Coverage to Centers of Excellence. JAMA : the journal of the American Medical Association, 309(8), 792-799.
Publication 2013
Abdomen Bariatric Surgery Cholecystectomy, Laparoscopic Diagnosis Gastrectomy Gastric Bypass Gastrojejunostomy Inpatient Laparoscopy Malignant Neoplasms Obesity, Morbid Patient Discharge Patients Stomach Tissue Adhesions
5
Surgical Skill Evaluation of Trainees
Cited 8 times
We surveyed all operations, in which postgraduate year 3, 4, and 5 surgical trainees participated as the main surgeon or as the first assistant in Hiroshima City Asa Hospital, between January, 2007 and December, 2010. The surgical skills were evaluated using the global rating scale of the OSATS (Fig. 1).

The global rating scale used in the Objective Structured Assessment of Technical Skills (OSATS) [2 (link)], which we used to score the skills of each surgical trainee in performing or assisting in real operations. Full marks are 35 points on 7 items and 30 points on 6 items, respectively, as a surgeon and as an assistant (in the case of assistant, ‘Use of Assistant’ is excluded from the scoring)

Operations were classified according to whether the trainee was acting as the surgeon or the first assistant and were based on the level of difficulty of the surgical procedure. The surgical procedures were arbitrarily classified into three groups (Table 1). The scores of each trainee evaluated with the global rating scale were collected and studied in relation to each postgraduate year.

Example of the operation classification according to the degree of difficulty

Degree of difficultyOperations
LowThyroidectomy
Breast surgery
Bullectomy, VATS
Appendectomy (open or lap.)
Inguinal hernioplasty
IntermediateOpen lung surgery (such as lobectomy)
Open distal gastrectomy
Lap. local resection of the stomach
Open colectomy
Lap. cholecystectomy
Distal pancreatectomy
HighEsophagectomy
Lobectomy of lung (VATS)
Open or lap. total gastrectomy
Lap. distal gastrectomy
Lap. colectomy
Open or lap. proctectomy
Hepatectomy
Pancreatoduodenectomy
Evaluations were carried out by staff surgeons who participated in the operation in a supervisory role, rather than as a third-party evaluator who watched the operation or its video, because the main purpose of our method was to educate based on feedback, rather than to simply evaluate. To ensure objectivity of the evaluation, before starting this assessment system, all evaluators watched three videos of laparoscopic cholecystectomy being performed by three different trainees, and made a standard matching of the scores.
The scores of each trainee were analyzed as the median during each of nine terms, being the first term (from April to July), second term (from August to November), and third term (from December to March) in each postgraduate year. To examine the correlation between the postgraduate year and the surgical skill evaluated by the global rating scale, the scores in the second term of each year were statistically analyzed as follows: The Kruskal–Wallis test was used to compare the three groups and the Mann–Whitney U test was used to compare differences between two groups. Analyses were performed using the SPSS software application and p values <0.05 and 0.05/3 were considered to indicate significance.
Niitsu H., Hirabayashi N., Yoshimitsu M., Mimura T., Taomoto J., Sugiyama Y., Murakami S., Saeki S., Mukaida H, & Takiyama W. (2012). Using the Objective Structured Assessment of Technical Skills (OSATS) global rating scale to evaluate the skills of surgical trainees in the operating room. Surgery Today, 43(3), 271-275.
Publication 2012
Cholecystectomy, Laparoscopic Groin Lung Operating Tables Operative Surgical Procedures Pulmonary Surgical Procedures Supervision Surgeons Teaching Thoracic Surgery, Video-Assisted

Most recents protocols related to «Cholecystectomy, Laparoscopic»

1
Laparoscopic Cholecystectomy for Cholecystolithiasis and Choledocholithiasis
This retrospective cohort study enrolled patients who underwent laparoscopic surgery for cholecystolithiasis plus choledocholithiasis at the Department of Hepatobiliary Surgery of Tongling People’s Hospital from January 2017 to March 2021.
The inclusion criteria for the study include patients who had (1) a diagnosis of cholecystolithiasis plus choledocholithiasis by preoperative imaging examination and postoperative pathology and (2) who underwent LCBDPSENBD or LCBDTD or LCERCP surgery. The patients who underwent laparotomy underwent other surgeries (such as liver resection, appendectomy, etc.) simultaneously or with incomplete data were excluded.
European Society of Gastrointestinal Endoscopy (ESGE) suggests offering stone extraction to all patients with CBD stones. The European Society of Gastrointestinal Endoscopy recommends a convergent ERCP for cholecystectomy in patients with CBD stones. Intraoperative ERCP can be performed during laparoscopic cholecystectomy as a first-stage treatment for cholecystocholithiasis or after the failure of preoperative endoscopic attempts to remove CBDS. Guidelines recommend laparoscopic cholecystectomy within 2 weeks of ERCP in patients with CBD stones to reduce the rate of outcome and the risk of biliary event recurrence. In patients undergoing laparoscopic cholecystectomy, choledochoscope exploration of the CBD is a safe and effective technique for CBD stone clearance.22 (link) According to the guideline, we divided patients into 3 groups randomly.
This study was approved by the Ethics Committee of Tongling People’s Hospital (2021004). The requirement for patients’ informed consent was waived due to the retrospective nature of the study.
Ji H., Hou Y., Cheng X., Zhu F., Wan C, & Fang L. (2023). Association of Laparoscopic Methods and Clinical Outcomes of Cholecystolithiasis Plus Choledocholithiasis: A Cohort Study. The Turkish Journal of Gastroenterology, 34(1), 35-42.
Publication 2023
Appendectomy Calculi Cholecystectomy Cholecystectomy, Laparoscopic Cholecystolithiasis Choledocholithiasis Diagnosis Endoscopic Retrograde Cholangiopancreatography Endoscopy Endoscopy, Gastrointestinal Ethics Committees, Clinical Europeans Hepatectomy Laparotomy Operative Surgical Procedures Patients Recurrence Surgical Procedures, Laparoscopic
2
Procedure-Specific Opioid Prescription Algorithms
The research team developed procedure-specific algorithms. At first, members of the research team met separately to develop the procedure-specific algorithms; for example, clinical researchers with an expertise in general surgery did not meet initially when developing the PSF in AIS algorithm, and vice versa. Both groups provided final recommendations regarding doses of opioid pills based on clinical considerations and notable risk factors for potential prescription opioid misuse. General surgeons, including both an attending and resident physician to account for different workflows, were consulted over a series of meetings to generate the initial algorithm for laparoscopic cholecystectomies. Once this initial algorithm was developed, it was shared with the paediatrics research team, feedback and recommendations were solicited, and a different, more complex algorithm was developed for AIS patients. The Paediatrics team opted to include a feature in the app to notify the provider that the patient would benefit from formal pain counselling in addition to a recommendation for the opioid prescription. This would occur through affirmative responses to questions such as ‘Is there opioid use within the household in which the patient resides?’ or ‘Has the patient taken any opioids that have not been prescribed to them for more than 5 days in the past 6 months?’, among others. We did not include this feature in the laparoscopic cholecystectomy algorithm due to concern that it may overcomplicate the app and be too time-consuming.
The two decision trees were reviewed by the full research team. Subsequent changes were made based on expert feedback. However, it was evident that the team needed to develop decision trees to be both procedure-specific and patient-specific. The procedures were intrinsically different, and they differed in terms of their length, and degree and duration of expected postoperative pain. Furthermore, adolescents were admitted with caregivers who needed to be included in the decision-making for pain treatment strategies, while adults having cholecystectomies were making decisions regarding pain treatments on discharge on their own.
The laparoscopic cholecystectomy algorithm (used in the General Surgery department) followed a more straightforward approach, with the final decision tree including seven questions with four possible recommendations, including zero need, low need (two pills), average need (five pills) and high need (ten pills) (table 1). The PSF in AIS algorithm (used in the Paediatrics department) was more complex to account for paediatric patients’ age, weight, previous opioid exposure/use and laminectomy levels included. The PSF in AIS algorithm involved 16 questions and 5 possible recommendations: zero need, low need (6–8 pills), low-average need (10–12 pills), average need (18 pills) and high need (24–26 pills) (table 2). All opioid pills were noted to be 5 mg hydrocodone/oxycodone or equivalent.
Marziali M.E., Giordano M., Gleit Z., Prigoff J., Landau R, & Martins S.S. (2023). Development and design of a mobile application for prescription opioid clinical decision-making: a feasibility study in New York City, USA. BMJ Open, 13(2), e066427.
Publication 2023
Adolescent Adult Cholecystectomy Cholecystectomy, Laparoscopic Clinical Investigators Contraceptives, Oral Households Hydrocodone Laminectomy Management, Pain Opioids Oxycodone Pain Pain, Postoperative Patient Discharge Patients Physicians Prescription Opioid Misuse Surgeons
3
Opioid Prescribing Patterns in Surgical Procedures
A scoping review of the literature was conducted to examine opioid prescribing patterns, available opioid prescribing guidelines for the selected procedures, and the use of a clinical decision-making process. For pragmatic reasons, we focused on two distinct surgical procedures: laparoscopic cholecystectomies and posterior spinal fusion (PSF) in adolescents with idiopathic scoliosis (AIS). We opted to include a simple, straightforward general surgery procedure (eg, laparoscopic cholecystectomies) and a complicated paediatric surgery procedure (eg, PSF in AIS) to explore the feasibility of the app in different surgical settings. Publications reporting on opioid prescription and clinical considerations that are relevant for decision-making in opioid prescribing were reviewed.
Marziali M.E., Giordano M., Gleit Z., Prigoff J., Landau R, & Martins S.S. (2023). Development and design of a mobile application for prescription opioid clinical decision-making: a feasibility study in New York City, USA. BMJ Open, 13(2), e066427.
Publication 2023
Adolescent Cholecystectomy, Laparoscopic Operative Surgical Procedures Opioids Scoliosis Spinal Fusions
4
Opioid Prescribing Patterns in Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy is classified as a minor procedure; however, opioid prescription increased from 190.1 morphine milligram equivalents (MME) in 2004 to 211.9 MME in 2012,13 (link) which is more than 25 5 mg oxycodone pills. Prescription of opioids at discharge occurs in up to 94% of cases after urgent and non-urgent laparoscopic cholecystectomies,14 (link) and is associated with persistent opioid use among approximately 6% of patients.2 (link) Among a recent cohort of patients undergoing both laparoscopic cholecystectomies and appendectomies, the average number of opioid pills taken postdischarge was 1.8 oxycodone pills.15 (link) Recent opioid prescribing recommendations for patients undergoing a laparoscopic cholecystectomy range from 0 to 15 oxycodone or equivalent pills.16 17 (link)
Marziali M.E., Giordano M., Gleit Z., Prigoff J., Landau R, & Martins S.S. (2023). Development and design of a mobile application for prescription opioid clinical decision-making: a feasibility study in New York City, USA. BMJ Open, 13(2), e066427.
Publication 2023
Appendectomy Cholecystectomy, Laparoscopic Contraceptives, Oral Morphine Opioids Oxycodone Patient Discharge Patients
5
Feedback-driven App Evaluation for Opioid Prescribing
The research team developed a feedback form embedded within the app to solicit feedback and comments from participants. The questions were formulated to assess whether providers found the app to be helpful if the final recommendations were in line with what they would expect, and if they would continue using the app. The providers were asked to complete a questionnaire after going through the app initially, and again after using the app multiple times, to identify differences between first impressions and continued use. The first question on the feedback form asked participants to specify the amount of opioids they would intend to prescribe for this procedure (ie, either PSF in AIS or a laparoscopic cholecystectomy), prior to using the app. A complete list of the questions on whether the app could be incorporated into providers’ practice is available in table 3.
Marziali M.E., Giordano M., Gleit Z., Prigoff J., Landau R, & Martins S.S. (2023). Development and design of a mobile application for prescription opioid clinical decision-making: a feasibility study in New York City, USA. BMJ Open, 13(2), e066427.
Publication 2023
Cholecystectomy, Laparoscopic Opioids

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More about "Cholecystectomy, Laparoscopic"

Laparoscopic cholecystectomy, minimally invasive gallbladder removal, LC, keyhole surgery, video-assisted cholecystectomy, endoscopic cholecystectomy.
This surgical procedure is used to treat gallbladder conditions like gallstones, cholecystitis, and biliary dyskinesia.
It involves making small incisions in the abdomen to insert a tiny camera (laparoscope) and surgical tools, allowing the surgeon to see and remove the gallbladder without a large open incision.
Compared to traditional open cholecystectomy, laparoscopic cholecystectomy typically results in faster recovery, less pain, and smaller scars.
Researchers can optimize their studies on this procedure by utilizing tools like PubCompare.ai to locate relevant protocols, identify effective techniques, and enhance the reproducibility and accuracy of their findings.
Anesthetic agents like Ketalar (ketamine) and Ultiva (remifentanil) may be used during the procedure, while monitoring devices like pulse oximetry and CV260 can track vital signs.
Statistical software like SPSS and Stata can analyze data from laparoscopic cholecystectomy studies to uncover insights and improve patient outcomes.