Robotic versus laparoscopic gallbladder removal for benign gallbladder disease
Official title: Surgical Techniques: Robotic Versus Conventional Laparoscopic Cholecystectomy IN Benign Gallbladder Disease: A Randomized Controlled, Open, Parallel, Non-inferiority, Single-center Trial (STaRLING Trial)
Run by Portsmouth Hospitals NHS Trust · NCT07119203 · Data updated 2026-11-12
This trial will test whether robotic gallbladder removal is as safe as standard laparoscopic surgery for adults who need their gallbladder removed for benign disease.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 276 (estimated) |
| Sponsor | Portsmouth Hospitals NHS Trust Government |
| Locations | 1 site (Portsmouth) |
| Status | Recruiting |
| Started | September 12, 2025 |
| Main results expected | August 1, 2027 |
| Study ends | August 1, 2027 |
| Registry record updated | September 15, 2026 |
| Trial ID | NCT07119203 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (age ≥18) with benign gallbladder disease such as symptomatic gallstones or gallbladder polyps who are eligible for minimally invasive cholecystectomy and can give informed consent.
✕Probably not a fit
Patients with acute cholecystitis, known common bile duct stones, suspected malignancy, advanced liver cirrhosis (stage III/IV), pregnancy, insufficient language skills for questionnaires, or those deemed unsuitable for minimally invasive surgery are not likely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a single-center, randomized, parallel non-inferiority trial enrolling 276 adults with benign gallbladder disease who require cholecystectomy. Participants are randomly assigned to either robotic cholecystectomy or conventional laparoscopic cholecystectomy and followed up at 7 and 30 days after surgery. The primary outcome is the incidence and severity of postoperative complications within 30 days; secondary outcomes include perioperative measures, total health care utilization, patient-reported health-related quality of life, and cost-effectiveness. The trial is designed to determine whether robotic surgery provides comparable safety and resource use to standard laparoscopy.
Why it matters
Potential benefit: If successful, robotic cholecystectomy could offer comparable safety with potential benefits in recovery, patient experience, or overall cost-effectiveness compared with standard laparoscopy.
How similar studies have gone: Robotic cholecystectomy has been reported in observational series but this is the first randomized controlled trial directly comparing robotic and laparoscopic cholecystectomy for benign gallbladder disease.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age equal or above 18 years; * Benign gallbladder disease: diagnosis of gallbladder polyps or symptomatic gallstones proven on imaging (ultrasound, computed tomography (CT) scan or magnetic resonance cholangiopancreatography (MRCP)); * Capacity to give informed consent. Exclusion Criteria: * Minimally invasive procedure is not deemed possible by the operating surgeon; * Evidence of acute cholecystitis; * Known stones in the common bile duct (CBD); * Suspicion of possible malignancy; * Pregnancy; * Diagnosis of liver cirrhosis (stage III or IV); * Insufficient language skills to be able to perform the quality-of-life questionnaires.
Where it's running
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Queen Alexandra Hospital
Portsmouth, United Kingdom Recruiting
Study contacts
- Study coordinator: Gijsbert I. van Boxel
- Email: g.vanboxel@nhs.net
- Phone: +44 023 9228 6000
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.