Can a structured recovery plan speed healing after emergency gallbladder surgery?
NCT ID NCT07695922
First seen Jul 10, 2026 · Last updated Jul 10, 2026
Summary
This study tests whether a standardized care pathway called RICA helps people recover faster after emergency keyhole surgery for moderate gallbladder inflammation (Grade II acute cholecystitis). The pathway includes steps like ultrasound before surgery, limited fasting, blood sugar control, and goal-directed fluids during surgery. Researchers will compare patients who receive this structured care to a similar group who received usual care in the past, measuring how long they stay in the hospital after surgery and whether complications occur.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RICA perioperative care pathway (standardized recovery protocol)
- What this could lead to
- If successful, this could establish a standard recovery plan for emergency gallbladder surgery, helping patients leave the hospital sooner with fewer complications.
- What could go wrong
- This is a single-center, non-randomized study comparing a new protocol to past patients, so results may not apply broadly. The protocol is complex and may be hard to implement consistently.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 146 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients aged 18 to 85 years, inclusive. * Confirmed diagnosis of Grade II (moderate) acute cholecystitis based on the Tokyo Guidelines 2018 (TG18) criteria. * Patients scheduled for laparoscopic cholecystectomy within 72 hours of hospital admission and up to 10 days from symptom onset. * American Society of Anesthesiologists (ASA) physical status classification of I, II, or III. Exclusion Criteria: * Ongoing therapeutic anticoagulation or dual antiplatelet therapy that cannot be safely suspended or modified for surgery. * Concurrent advanced chronic liver disease (Child-Pugh class B or C), severe acute biliary pancreatitis, or associated complex biliary tract pathology. * Active SARS-CoV-2 (COVID-19) infection confirmed by polymerase chain reaction (PCR). * Refusal or inability to provide written informed consent for the prospective phase of the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hospital Universitari d'Igualada
Igualada, Barcelona, 08700, Spain
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