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CTRI Number  CTRI/2025/08/092986 [Registered on: 13/08/2025] Trial Registered Prospectively
Last Modified On: 11/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of surgical stress response in standard pressure pneumoperitoneum versus isobaric pneumoperitoneum (gasless) in patients undergoing Laparoscopic cholecystectomy. 
Scientific Title of Study   Comparison of surgical stress response in standard pressure pneumoperitoneum versus isobaric pneumoperitoneum (gasless) in patients undergoing Laparoscopic cholecystectomy: A Randomized Controlled Study.  
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Soukat Ali Khan 
Designation  Post graduate resident, Department of General Surgery  
Affiliation  Maulana Azad medical College 
Address  Balmiki basti
Dr B C Roy hostel, Balmiki basti, New Delhi, 110002
New Delhi
DELHI
110002
India 
Phone  09564236711  
Fax    
Email  soukatkhan5822@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Soukat Ali Khan 
Designation  Post graduate resident, Department of General Surgery  
Affiliation  Maulana Azad medical College 
Address  Narayanpur
Narayanpur, Amiya narayanpur, west Bengal 741165
Nadia
WEST BENGAL
741165
India 
Phone  09564236711  
Fax    
Email  soukatkhan5822@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Soukat Ali Khan 
Designation  Post graduate resident, Department of General Surgery  
Affiliation  Maulana Azad medical College 
Address  Narayanpur
Narayanpur, Amiya narayanpur, west Bengal 741165
Nadia
WEST BENGAL
741165
India 
Phone  09564236711  
Fax    
Email  soukatkhan5822@gmail.com  
 
Source of Monetary or Material Support  
Maulana Azad medical College  
 
Primary Sponsor  
Name  Maulana Azad medical College  
Address  New Delhi, india, 110002 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Soukat Ali Khan  Maulana Azad medical College   New Delhi, india, 110002
Central
DELHI 
09564236711

soukatkhan5822@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K808||Other cholelithiasis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Laparoscopic Cholecystectomy   Laparoscopic cholecystectomy and Comparison of hs-CRP, ACTH, Cortisol, IL-6, Neutrophil:Lymphocyte ratio 
Comparator Agent  Laparoscopic cholecystectomy (Gasless)  Laparoscopic cholecystectomy and Comparison of hs-CRP, ACTH, Cortisol, IL-6, Neutrophil:Lymphocyte ratio 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  18-65 years  
 
ExclusionCriteria 
Details  Pregnancy and lactation.
Known case of Rheumatoid Arthritis, Inflammatory Bowel Disease.
BMI above 30 kg/m2.
Empyema Gallbladder.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Percentage change in hs-CRP in Laparoscopic Cholecystectomy with standard pressure pneumoperitoneum and isobaric pneumoperitoneum(gasless) at preoperative (8 am morning of surgery), immediate postoperative (during skin closure), and postoperative (2 hours and 24 hours after surgery) period.  Preoperative (8 am morning of surgery), immediate postoperative (during skin closure), and postoperative (2 hours and 24 hours after surgery) period. 
 
Secondary Outcome  
Outcome  TimePoints 
Comparison of ACTH, Cortisol, IL-6, Neutrophil:Lymphocyte ratio  Early morning of surgery, 2 hours and 24 hours after surgery  
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   22/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  22/08/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   To compare surgical stress response in standard pressure pneumoperitoneum versus isobaric pneumoperitoneum (gasless) in patients undergoing laparoscopic cholecystectomy in terms of hs-CRP.


PRIMARY OBJECTIVES: To compare surgical stress response in terms of hs-CRP in both groups.

SECONDARY OBJECTIVES:
 To compare ACTH, Cortisol, IL-6, Neutrophil:Lymphocyte ratio in both groups.
To compare postoperative pain and duration of hospital stay in both groups.

 
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