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Transvaginal Cholecystectomy Versus Laparoscopic Cholecystectomy in Patients With Biliary Colic

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified April 2012 by Kurt Roberts, Yale University.
Recruitment status was:  Enrolling by invitation
Information provided by (Responsible Party):
Kurt Roberts, Yale University Identifier:
First received: August 20, 2009
Last updated: April 9, 2012
Last verified: April 2012

A safe and effective transvaginal approach accessing the abdominal cavity through the vagina rather than the abdominal wall is today considered a routine approach for many gynecologic surgeries.

First described by Dr. Ott in Germany in 1901, it is used routinely for transvaginal surgery, for example, transvaginal hysterectomies. This transvaginal technique has been shown to compare favorably to a laparoscopic abdominal approach because of less postoperative pain, the total elimination of abdominal wall hernias and wound infections, earlier recovery and better cosmesis.

Although routinely used in gynecological surgery, the advantages of the vaginal approach have not been utilized for general surgery applications such as cholecystectomies. Open or laparoscopic cholecystectomy accessing the abdominal cavity through abdominal wall incisions is currently still considered the standard of care in general surgery for patients with symptomatic gallbladder disease.

The investigators intend to access the abdominal cavity through the posterior vaginal fornix instead of the transabdominal approach that is now performed routinely. So far, this method of accessing the abdominal cavity through the transvaginal approach for the purpose of performing intraabdominal general surgery.

The investigators' transvaginal approach has the strong potential to further decrease invasiveness and take minimally invasive surgery to the next level in order to benefit the patient even more by minimizing postoperative pain, eliminating the risk of abdominal hernias and wound infections, improving cosmetic appearance and enabling the patient to return to routine activity and work earlier. First preliminary studies show these advantages but further research needs to be done to confirm these early positive results.

Condition Intervention Phase
Biliary Colic Procedure: transvaginal cholecystectomy Procedure: laparoscopic cholecystectomy Phase 4

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Transvaginal Cholecystectomy

Further study details as provided by Kurt Roberts, Yale University:

Primary Outcome Measures:
  • feasibility of transvaginal cholecystectomy [ Time Frame: 2 year ]

Secondary Outcome Measures:
  • pain [ Time Frame: 2 years ]
  • quality of life [ Time Frame: 2 years ]

Estimated Enrollment: 20
Study Start Date: August 2009
Estimated Study Completion Date: March 2013
Estimated Primary Completion Date: March 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention group
transvaginal cholecystectomy
Procedure: transvaginal cholecystectomy
Transvaginal approach to gallbladder removal.
Active Comparator: laparoscopic cholecystectomy
Laparoscopic cholecystectomy (4 port)
Procedure: laparoscopic cholecystectomy
laparoscopic cholecystectomy


Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Female.
  • Age between 18 and 65 years old.
  • Biliary dyskinesia with documented Gallbladder EF < 30% or diagnosis of biliary colic with documented gallstones or polyps by imaging.
  • Body Mass Index (BMI) < 45 kg/m2.

Exclusion Criteria:

  • Any female patient, who is pregnant, suspected pregnant, or lactating.
  • Any patient with acute or acalculous cholecystitis.
  • Any patient with an American Society of Anesthesiologists Score > 3.
  • Any patient who is undergoing Peritoneal Dialysis (PD).
  • Patients who are taking immunosuppressive medications or are immunocompromised.
  • Patients on blood thinners or aspirin or abnormal blood coagulation tests.
  • Patients who have a history of prior open abdominal surgery or prior transvaginal surgery.
  • Patients with a history of ectopic pregnancy, pelvic inflammatory disease (PID) or severe endometriosis.
  • Non English speaking patients.
  Contacts and Locations
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Please refer to this study by its identifier: NCT00963950

Sponsors and Collaborators
Yale University
Principal Investigator: Kurt Roberts, MD Yale University
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Kurt Roberts, Asst. Prof. GI Surgery, Yale University Identifier: NCT00963950     History of Changes
Other Study ID Numbers: 0902004771
Study First Received: August 20, 2009
Last Updated: April 9, 2012

Keywords provided by Kurt Roberts, Yale University:

Additional relevant MeSH terms:
Infant, Newborn, Diseases processed this record on August 23, 2017