About this trial
Cholecystectomy is one the most frequent laparoscopic procedures worldwide. It is a safe and effective operation but intraoperative bile duct injury remains a relevant complication with serious consequences for the patient. Most of the complications occur due to a lack of knowledge of the anatomy or misidentification of the cystic duct. Thus, the study of the anatomy is a cornerstone of a successful procedure and the preoperative magnetic resonance cholangiopancreatography (MRCP) is a way to preoperatively determine relevant structures to avoid intraoperative incidents.
This trial has been designed to assess the effect of preoperative virtual reality training based on MRCP on intraoperative performance and outcome.
Eligibility criteria
Qualifiers
Referred for elective cholecystectomy for symptomatic cholecystolithiasis/chronic cholecystitis
Early cholecystectomy after acute biliary pancreatitis
Concomitant minor procedures (adhesiolysis, umbilical hernia repair, liver biopsy)
Sufficient quality of MRCP
Disqualifiers
American Society of Anaesthesiologists (ASA) classification ≥ 4
Previous major open upper abdominal surgery
Suspicion for concomitant biliary disease (e.g. Mirizzi-Syndrome)
Robotic cholecystectomy
Trial design
Treatments tested in this trial
- Virtual Reality training
- Conventional training
Treatment groups
Sponsors and collaborators
University Hospital, Basel, Switzerland
Lead sponsor
University of Basel
Collaborator