[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"cholecystitis-acute\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:cholecystitis-acute":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,9,0,[8,49,81,107,128,161,189,214,249],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":29,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":48},"100644547","comparison-of-gallbladder-extraction-via-subxiphoid-vs-infraumbilical-port-in-laparoscopic-cholecystectomy-100644547",false,"NCT07672145","Comparison of Gallbladder Extraction Via Subxiphoid vs Infraumbilical Port in Laparoscopic Cholecystectomy","Comparison of Gallbladder Extraction Via the Subxiphoid Port and the Infraumbilical Port During Laparoscopic Cholecystectomy: A Prospective Randomized Clinical Trial","Inclusion Criteria:\n\n* Patients aged between 18 to 60 years.\n* Diagnosed with symptomatic gallstones on ultrasonography.\n* American Society of Anesthesiologists (ASA) physical status I-II.\n* Scheduled for elective laparoscopic cholecystectomy.\n* Presence of acute or empyematous cholecystitis\n\nExclusion Criteria:\n\n* Intraoperative conversion to open cholecystectomy.\n* Diagnosed with Diabetes mellitus type 2.","ALL","18 Years","60 Years",{"count":20,"type":21},66,"ESTIMATED","INTERVENTIONAL",[24],"NA","Laparoscopic cholecystectomy is the standard surgical treatment for symptomatic gallstone disease due to its advantages in reducing postoperative pain and recovery times. However, surgeons continue to debate the optimal port site for retrieving the gallbladder specimen from the abdominal cavity, as this choice can influence wound-related morbidity.\n\nTraditionally, the gallbladder is extracted through the infraumbilical port site. While effective, this route is associated with a potential risk of port-site infections due to bacterial colonization within the umbilicus and risk of contamination during specimen extraction. Retrieving the gallbladder through the subxiphoid port has been proposed as an alternative technique that may utilize a cleaner surgical site, potentially reducing patient pain scores and regional wound complications.\n\nThis prospective randomized clinical trial aims to directly compare the clinical outcomes of extracting the gallbladder through the subxiphoid port versus the traditional infraumbilical port. The study will evaluate and compare mean postoperative pain intensity within the first 24 hours, as well as the regional development of port-site infections, seromas, or hematomas within 7 days following elective laparoscopic surgery.",[27,28],"Cholelithiasis (Without Cholecystitis)","Cholecystitis, Acute",[30,31,32,33,34,35],"Laparoscopic Cholecystectomy","Gallbladder Extraction","Subxiphoid Port","Infraumbilical Port","Postoperative Pain","Port-Site Infection","RECRUITING","2026-06-23",{"date":39,"type":40},"2026-06-26","ACTUAL",{"date":42,"type":40},"2026-05-20",{"date":44,"type":21},"2026-08-15",{"name":46,"class":47},"King Edward Medical University","OTHER",1,{"id":50,"slug":51,"hasResults":11,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":55,"eligibilityCriteria":56,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":57,"targetDuration":4,"studyType":59,"phases":4,"briefSummary":60,"conditions":61,"keywords":64,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":72,"lastUpdatePostDateStruct":73,"startDateStruct":75,"completionDateStruct":77,"leadSponsor":79,"locationsCount":48},"100641557","endoscopic-vs-non-endoscopic-drainage-for-benign-gallbladder-diseases-in-high-risk-patients-or-patients-desiring-gallbladder-preservation-100641557","NCT07649811","Endoscopic vs Non-endoscopic Drainage for Benign Gallbladder Diseases in High-risk Patients or Patients Desiring Gallbladder Preservation","Efficacy and Safety Evaluation of Endoscopic Treatment for Benign Gallbladder Diseases: A Multicenter Prospective Cohort Study","GB-PRESERVE","Inclusion Criteria:\n\n* Age ≥ 18 years, and voluntarily signed the informed consent form;\n* Radiologically confirmed symptomatic benign gallbladder disease (symptomatic gallbladder stones, gallbladder polyps meeting surgical indications, acute cholecystitis TG18 Grade I\u002FII); and meeting any of the following specific population criteria:\n\n  1. High-risk surgical patients: ASA classification ≥ III, or presence of severe comorbidities that significantly increase the risk of laparoscopic cholecystectomy (LC);\n  2. Patients with concomitant common bile duct stones (CBDS) and a strong desire for gallbladder preservation: presence of CBDS confirmed by MRCP\u002FERCP examination, and still strongly requesting the preservation of gallbladder function after being fully informed.\n\nExclusion Criteria:\n\n* Suspected or confirmed gallbladder malignancy;\n* Complications requiring emergency surgical intervention (gangrene, perforation, diffuse peritonitis);\n* Uncorrectable severe coagulation dysfunction;\n* Presence of severe anatomical deformity or obstruction of the stomach, duodenum, or esophagus, where the endoscope is expected to be unable to reach the target site (papilla or pericholecystic area);\n* Significant gallbladder atrophy (longitudinal diameter \\\u003C 4 cm or anteroposterior diameter \\\u003C 2 cm);\n* Pregnant or lactating women;\n* Previous history of cholecystectomy;\n* Presence of psychiatric disorders or any condition that prevents cooperation with treatment and follow-up;\n* Unwilling or unable to sign the informed consent form.",{"count":58,"type":21},220,"OBSERVATIONAL","Common gallbladder conditions like gallstones, polyps, and gallbladder inflammation are typically treated by surgically removing the gallbladder. However, surgery may be too risky for elderly patients or those with severe medical conditions, and some patients strongly prefer to keep their gallbladder.\n\nNewer, less-invasive endoscopic treatments can drain the gallbladder to treat inflammation without surgery. However, after successful drainage, doctors currently do not know whether it is better to leave a stent inside for long-term drainage or to actively remove the gallbladder stones using an endoscope.\n\nThis multicenter study will follow patients in a real-world setting to compare these two approaches: the endoscopic treatment group (stone removal after drainage) and the non-endoscopic treatment group (long-term drainage alone). The goal is to evaluate which method is safer and more effective over the long term, helping doctors make better clinical decisions and improve patients' quality of life.",[62,28,63],"Gallbladder Diseases","Cholelithiasis",[65,66,67,68,69,70],"EUS-GBD","ET-GBD","PT-GBD","Gallbladder Preservation","High Surgical Risk","Endoscopic Drainage","NOT_YET_RECRUITING","2026-06-11",{"date":74,"type":40},"2026-06-16",{"date":76,"type":21},"2026-07-01",{"date":78,"type":21},"2027-12-31",{"name":80,"class":47},"Air Force Military Medical University, China",{"id":82,"slug":83,"hasResults":11,"nctId":84,"briefTitle":85,"officialTitle":85,"acronym":86,"eligibilityCriteria":87,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":88,"targetDuration":4,"studyType":59,"phases":4,"briefSummary":90,"conditions":91,"keywords":92,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":98,"lastUpdatePostDateStruct":99,"startDateStruct":101,"completionDateStruct":103,"leadSponsor":105,"locationsCount":48},"100636622","snapchole-an-international-time-bound-prospective-platform-study-of-management-strategies-and-outcomes-in-acute-calculous-cholecystitis-100636622","NCT07568080","SnapChole: An International, Time-Bound Prospective Platform Study of Management Strategies and Outcomes in Acute Calculous Cholecystitis","SnapChole","Inclusion Criteria:\n\n* Age ≥18 years\n* Presentation with suspected acute calculous cholecystitis\n* Diagnosis confirmed prospectively according to Tokyo Guidelines 2018 (TG18) diagnostic criteria\n* Classified as severe (TG18 Grade III) disease based on the presence of organ dysfunction\n* Managed at a participating center during the study accrual period\n\nExclusion Criteria:\n\n* Acalculous cholecystitis\n* Isolated choledocholithiasis or acute cholangitis without cholecystitis\n* Primary gallstone pancreatitis without concomitant acute cholecystitis\n* Elective admission for chronic biliary symptoms\n* Prior cholecystectomy",{"count":89,"type":21},1500,"This study aims to understand how different treatment approaches for acute gallbladder inflammation (acute calculous cholecystitis) affect patient outcomes in real-world hospital settings.\n\nAcute calculous cholecystitis is a common condition that occurs when gallstones block the gallbladder and cause infection or inflammation. In more severe cases, patients may develop organ dysfunction, and doctors must decide quickly how best to treat the condition. Treatment options include early surgery to remove the gallbladder, placement of a drainage tube, or treatment with antibiotics alone. The best approach is not always clear, especially for patients who are older, have other medical conditions, or are very unwell.\n\nThis study will collect information from hospitals around the world about how patients with severe gallbladder inflammation are treated as part of their usual care. No treatments are assigned by the study. All decisions are made by the patient's clinical team.\n\nThe goal is to compare outcomes between different treatment approaches in patients who could reasonably receive more than one option. The study will examine recovery, survival, need for additional procedures, and time spent in the hospital over 90 days.\n\nThe findings are intended to help doctors and patients better understand which treatment strategies may lead to better outcomes in different clinical situations, and to improve decision-making in emergency surgical care.",[28],[93,94,95,96,97],"cholecystitis","high-risk","cholecystectomy","percutaneous cholecystostomy","target trial emulation","2026-04-29",{"date":100,"type":40},"2026-05-05",{"date":102,"type":21},"2026-08-01",{"date":104,"type":21},"2028-01-01",{"name":106,"class":47},"European Society for Trauma and Emergency Surgery",{"id":108,"slug":109,"hasResults":11,"nctId":110,"briefTitle":111,"officialTitle":112,"acronym":4,"eligibilityCriteria":113,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":114,"targetDuration":4,"studyType":22,"phases":116,"briefSummary":117,"conditions":118,"keywords":4,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":119,"lastUpdatePostDateStruct":120,"startDateStruct":122,"completionDateStruct":124,"leadSponsor":126,"locationsCount":48},"100286714","bile-aspiration-vs-drain-in-acute-cholecystitis-100286714","NCT03012243","Bile Aspiration vs Drain in Acute Cholecystitis","Randomized Controlled Trial of Bile Aspiration vs Drain in Acute Cholecystitis","Inclusion Criteria:\n\n* Acute cholecystitis, not warranting acute cholecystectomy\n\nExclusion Criteria:\n\n* Indication for acute cholecystectomy, i.e. history \\\u003C 5 days and no contraindication to surgery\n* Liver cirrhosis\n* Ascites\n* Emphysematous cholecystitis\n* Gallbladder perforation\n* Suspected malignant condition\n* Portal Hypertension\n* Biliary pancreatitis\n* Common bile duct stones",{"count":115,"type":21},40,[24],"In order to compare percutaneous cholecystostomy and leaving a drain in situ with percutaneous gallbladder aspiration we plan to undertake a double-blind randomized controlled trial.",[28],"2025-08-12",{"date":121,"type":40},"2025-08-13",{"date":123,"type":21},"2026-03-01",{"date":125,"type":21},"2028-03-31",{"name":127,"class":47},"Karolinska Institutet",{"id":129,"slug":130,"hasResults":11,"nctId":131,"briefTitle":132,"officialTitle":132,"acronym":133,"eligibilityCriteria":134,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":135,"enrollmentInfo":136,"targetDuration":4,"studyType":59,"phases":4,"briefSummary":138,"conditions":139,"keywords":145,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":152,"lastUpdatePostDateStruct":153,"startDateStruct":155,"completionDateStruct":157,"leadSponsor":159,"locationsCount":48},"100578786","prevention-of-postoperative-hernias-in-emergency-surgery-100578786","NCT06815822","Prevention of Postoperative Hernias in Emergency Surgery","PROPHECY","Inclusion criteria:\n\n* Patient age \\> 18 years.\n* Emergency or urgent surgery.\n* Specific surgical indications (acute appendicitis, acute cholecystitis, incarcerated hernia, gastrointestinal perforation, and obstruction).\n\nExclusion criteria:\n\n* Lack of patient consent.\n* Open abdomen technique applied.","100 Years",{"count":137,"type":21},500,"The aim of this observational study is to understand the risk factors and incidence of postoperative hernias among patients undergoing emergency surgery. The main question it aims to answer is:\n\nWhat is the incidence of postoperative hernias in this group of patients?\n\nA brief telephone interview will be conducted with participants who will be included in this study one year after the surgery. If the presence of a postoperative hernia is suspected, the patient will be invited to a follow-up visit to the surgical clinic, where the diagnosis will be confirmed by imaging tests.",[140,141,28,142,143,144],"Incarcerated Hernia","Appendicitis Acute","Ileus","Perforated Gastro-duodenal Ulcers","Perforated Bowel",[146,147,148,149,150,151],"postoperative hernia","trocar site hernia","parastomal hernia","incisional hernia","outcomes","emergency surgery","2025-06-12",{"date":154,"type":40},"2025-06-15",{"date":156,"type":40},"2025-06-01",{"date":158,"type":21},"2026-12-31",{"name":160,"class":47},"Jan Kochanowski University",{"id":162,"slug":163,"hasResults":11,"nctId":164,"briefTitle":165,"officialTitle":166,"acronym":4,"eligibilityCriteria":167,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":168,"enrollmentInfo":169,"targetDuration":4,"studyType":22,"phases":171,"briefSummary":172,"conditions":173,"keywords":177,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":181,"lastUpdatePostDateStruct":182,"startDateStruct":184,"completionDateStruct":185,"leadSponsor":187,"locationsCount":48},"100566524","eoib-for-laparoscopic-cholecystectomy-100566524","NCT06656299","EOIB for Laparoscopic Cholecystectomy","Evaluation of Post-Operative Analgesic Efficacy of Bilateral External Oblique Intercostal Plane Block Versus Wound Site Infiltration Control Group in Patients Underwent Laparoscopic Cholecystectomy Surgery","Inclusion Criteria:\n\n* Patients aged 18 to 65 who will be scheduled for an elective laparoscopic cholecystectomy under general anesthesia\n* ASA (American Society of Anesthesiologists) I-II-III\n\nExclusion Criteria:\n\n* presence of coagulation disorder\n* infection at the injection site of the block\n* known allergy to local anesthetics\n* advanced hepatic, heart or renal failure\n* history of abdominal surgery or trauma\n* conversion of laparoscopic to open surgery\n* consumption of any pain killers within the 24 h before the operation\n* chronic opioid consumption\n* pregnancy\n* alcohol or drug abuse\n* body mass index (BMI) ≥ 35 kg m-2\n* Impairment of the patient's cognitive functions (such as Alzheimer's disease, dementia, etc.).\n* Cholecystectomy cases performed under emergency conditions.","65 Years",{"count":170,"type":21},60,[24],"Laparoscopic cholecystectomy, while less painful compared to conventional methods, is still a surgery that can cause significant pain for patients. Preventing postoperative pain is crucial for reducing respiratory complications, shortening hospital stays, and increasing patient satisfaction. Interfascial plane blocks have been widely used for postoperative analgesia in recent years worldwide. The External Oblique Intercostal Plane Block is one of the interfascial plane blocks used in abdominal surgeries. In our study, we aimed to compare the postoperative pain scores of patients who underwent laparoscopic cholecystectomy under general anesthesia, specifically between those who received the external oblique intercostal plane block and those who had trocar entry site infiltration.",[174,28,175,176],"Cholecystitis","Cholecystitis, Chronic","Cholecystitis; Gallstone",[178,179,30,180],"External Oblique Intercostal Plan Block","Wound Infiltration","Postoperative pain","2024-10-30",{"date":183,"type":40},"2024-11-01",{"date":181,"type":40},{"date":186,"type":21},"2025-11-01",{"name":188,"class":47},"Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital",{"id":190,"slug":191,"hasResults":11,"nctId":192,"briefTitle":193,"officialTitle":194,"acronym":4,"eligibilityCriteria":195,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":196,"targetDuration":4,"studyType":22,"phases":198,"briefSummary":199,"conditions":200,"keywords":201,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":205,"lastUpdatePostDateStruct":206,"startDateStruct":208,"completionDateStruct":210,"leadSponsor":212,"locationsCount":48},"100552666","optimal-timing-for-laparoscopic-cholecystectomy-after-cholecystostomy-in-acute-cholecystitis-tokyo-iiiii-setting-100552666","NCT06476054","Optimal Timing for Laparoscopic Cholecystectomy After Cholecystostomy in Acute Cholecystitis Tokyo II\u002FIII Setting","Optimal Timing for Laparoscopic Cholecystectomy After Percutaneous Cholecystostomy in Acute Cholecystitis Tokyo II\u002FIII Setting: A Randomized Clinical Trial","Inclusion Criteria:\n\n* patients over 18 years of age\n* patients candidates for cholecystectomy, in scheduled surgery\n* patients who accept participation and sign informed consent form\n\nExclusion Criteria:\n\n* According to the principal investigator criteria, for reasons that make it impossible to correctly follow the treatment.\n* Presence of morbidity associated with the procedure that delays or makes treatment impossible.",{"count":197,"type":21},146,[24],"Percutaneous drainage in acute cholecystitis has been recommended by the recent update of the Tokyo Guidelines for patients with grade II and III disease who are unable to undergo surgical treatment due to their condition or associated comorbidities.\n\nThere are no reports providing high-quality scientific evidence on the optimal timing for surgery after percutaneous transhepatic gallbladder drainage, so a consensus has not been reached. The grade III stage generates the most controversy; after percutaneous drainage, delaying the cholecystectomy can lead to new episodes of exacerbation during the waiting period or may limit the procedure to a specific group of patients with this pathology.\n\nThe economic impact, including the number of readmissions, increased length of stay, and associated morbidity and mortality, generates controversy regarding the subsequent therapeutic decisions after the medical management of cholecystitis in this special group of patients.",[28],[174,202,203,204],"Acute Cholecystitis","percutaneous drainage","laparoscopic cholecystectomy","2024-06-26",{"date":207,"type":40},"2024-06-28",{"date":209,"type":40},"2024-02-01",{"date":211,"type":21},"2027-08-01",{"name":213,"class":47},"Hospital Arnau de Vilanova",{"id":215,"slug":216,"hasResults":11,"nctId":217,"briefTitle":218,"officialTitle":218,"acronym":4,"eligibilityCriteria":219,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":220,"targetDuration":222,"studyType":59,"phases":4,"briefSummary":223,"conditions":224,"keywords":225,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":240,"lastUpdatePostDateStruct":241,"startDateStruct":243,"completionDateStruct":245,"leadSponsor":247,"locationsCount":48},"100541501","prospective-evaluation-of-ultrasound-guided-percutaneous-cholecystostomy-with-the-trocar-technique-100541501","NCT06330688","Prospective Evaluation of Ultrasound-guided Percutaneous Cholecystostomy With the Trocar Technique","Inclusion Criteria:\n\n* All patients requiring PC, irrespective of the underlying cause and indication, are suitable for inclusion in the study.\n\nExclusion Criteria:\n\n* Patients are going to be excluded from the study if they are younger than 18 years, if they require PC catheter placement under CT guidance (according to the operator's judgement), or if they suffer from severe uncontrollable coagulopathy.",{"count":221,"type":21},100,"3 Months","The purpose of this study is to further evaluate and investigate the safety and efficacy of ultrasound (US)-guided percutaneous cholecystostomy (PC) with the trocar technique by the patient's bedside.",[28,174],[226,227,228,229,230,231,232,233,234,235,236,237,238,239],"cholecystostomy","percutaneous","trocar","ultrasound","guided","technique","Seldinger","transhepatic","transperitoneal","subcostal","intercostal","technical","success","complications","2024-03-19",{"date":242,"type":40},"2024-03-26",{"date":244,"type":21},"2024-03",{"date":246,"type":21},"2026-06",{"name":248,"class":47},"Attikon Hospital",{"id":250,"slug":251,"hasResults":11,"nctId":252,"briefTitle":253,"officialTitle":254,"acronym":255,"eligibilityCriteria":256,"healthyVolunteers":11,"sex":16,"minAge":4,"maxAge":4,"enrollmentInfo":257,"targetDuration":4,"studyType":22,"phases":258,"briefSummary":259,"conditions":260,"keywords":261,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":264,"lastUpdatePostDateStruct":265,"startDateStruct":267,"completionDateStruct":269,"leadSponsor":270,"locationsCount":48},"100493255","endosonography-guided-gallbladder-drainage-vs-non-endoscopic-treatment-in-inoperable-acute-cholecystitis-100493255","NCT05702775","Endosonography-guided Gallbladder Drainage vs Non-endoscopic Treatment in Inoperable Acute Cholecystitis","Endosonography-guided Gallbladder Drainage vs Non-endoscopic Treatment in Patients With Inoperable Acute Cholecystitis: a Multicenter Randomized Clinical Trial (EUS-DRAIN)","EUS-DRAIN","Inclusion Criteria:\n\n* Patient older than 18 years.\n* Definitive diagnosis of acute lithiasic cholecystitis according to the GP Tokyo 2018 criteria.\n* Surgical decision of inoperable patient (if one or more of the following criteria is met: age ≥80 years, American Society of Anesthesiology (ASA) III or more, Charlson Comorbidity Index \\> 5 and\u002For Karnofsky \\\u003C 50 or decision of the patient not to have surgery.\n* Signature of the informed consent of the study\n\nExclusion Criteria:\n\n* Operable acute cholecystitis.\n* Refusal of the patient to participate in the study.\n* Anatomy of the GI tract altered by previous hepatobiliary or upper GI surgery.\n* Ascites.\n* Inability to tolerate endoscopy sedation, perforation of the digestive tract, or other contraindication to endoscopy.\n* Patients with decompensated cirrhosis, portal hypertension and\u002For gastric varices\n* Coagulopathy with uncorrectable INR\\>1.5 or thrombocytopenia \\\u003C50,000\u002Fmm3 uncorrectable.\n* Other diagnoses on admission (choledocholithiasis, liver abscesses, acute pancreatitis or biliopancreatic neoplasia).\n* Hemodynamic instability.\n* Baseline ECOG \\>=4\n* Survival expectancy \\\u003C 6 months",{"count":221,"type":21},[24],"In this project the investigators propose to carry out a clinical trial that compares non-endoscopic treatment of cholecystitis with antibiotics versus endoscopic drainage in non-operable acute cholecystitism (AC), especially focused on the rate of subsequent EBP and recurrence of AC, as well as the impact on the quality of life, also exploring the costs.\n\nThe ultimate goal of this project is to generate knowledge and scientific evidence that makes it easier for health professionals to choose the most appropriate strategy for non-operable patients with lithiasic AC.\n\nOurworking hypothesis is that endoscopic treatment (EUS-GBD) will significantly reduce the number of EBP compared to non-endoscopic treatment in patients with non-operable lithiasic AC.",[28],[174,262,263],"Non-operable","Endoscopic","2023-01-18",{"date":266,"type":40},"2023-01-27",{"date":268,"type":40},"2022-10-01",{"date":76,"type":21},{"name":271,"class":47},"Fundacion Miguel Servet"]