Study on the Learning Curve for Fundus First With Ultrasonic Tissue Coagulation in Elective Cholecystectomy
Study on the Learning Curve for Fundus First With Ultrasonic Tissue Coagulation in Elective Cholecystectomy
The present study aims at analyzing the learning curve for fundus first with the ultrasonic
 tissue coagulation dissection technique in elective cholecystectomy. Patients included in the
 study are planned for an elective cholecystectomy, on the basis of the gallstone disease. All
 participating surgeons have experience of the traditional approach with electrocautery. The
 operation time as well as the surgeons own evaluation of difficulty and performance are
 noted. Selected films are analyzed by independent surgeons with experience of the fundus
 first technique. The Swedish registry of gallstone surgery and ERCP (GallRiks) are used to
 record the intra and postoperative complication rate.
The present study aims at analyzing the learning curve for fundus first with the ultrasonic
 tissue coagulation dissection technique in elective cholecystectomy. Patients included in the
 study are planned for an elective cholecystectomy, on the basis of the gallstone disease. All
 participating surgeons have experience of the traditional approach with electrocautery, but
 limited experience from gallstone surgery with ultrasonic tissue coagulation dissection.

 The operation time as well as the surgeons own evaluation of difficulty and performance are
 noted. Selected video recordings are analyzed by independent surgeons with experience of the
 fundus first technique. The Swedish registry of gallstone surgery and ERCP (GallRiks) are
 used to record the intra and postoperative complication rate. The study is intended to serve
 as a pilot study for a subsequent randomised controlled trial, comparing surgery with
 electrocautery and ultrasonic tissue coagulation dissection.
Inclusion Criteria:

 -  Preoperatively discovered choledocholithiasis

 Exclusion Criteria:

 -  Symptoms and signs of acute or chronic cholecystitis