Treatment of Common Bile Duct Stones

Not Applicable

• Conditions: Common Bile Duct Stone
• Interventions: Procedure: LC + LCBDE + ENBD + primary closure of CBD; Procedure: ERCP technique + LC; Procedure: LC + LCBDE + primary closure of CBD

• Registration Number: NCT03442205
• Lead Sponsor: Tongji Hospital

Brief Summary

ABSTRACT Introduction: Common bile duct (CBD) stone is a common clinical situation, especially in Asia area. Laparotomy and laparoscopic surgical procedure are often used for treatment. This study compares outcomes of different surgical procedures treating for the disease.

Methods/design: This is a prospective, randomized, controlled multicenter trial with three treatment arms. One group underwent laparoscopic cholecystectomy (LC) + laparoscopic CBD exploration (LCBDE) + intraoperative endoscopic nasobiliary drainage ENBD + primary closure of CBD. The other underwent preoperative endoscopic retrograde cholangiopancreatography (ERCP) and subsequent LC and the third arm underwent laparoscopic cholecystectomy (LC) + laparoscopic CBD exploration (LCBDE) + primary closure of CBD. The duration of the entire trial is two years including prearrangement, follow-up and analyses.

Discussion: Despite the fact plenty evidences provided by meta-analyses suggests that these approaches would appear comparable. It is hopeful to fully address which would be the better approach with this RCT design.

Detailed Description

Not available

Study Timeline

• Status Verified: 2018-02
• Study First Submitted: 2018-02-17
• Study First Submitted QC: 2018-02-17
• Study First Posted: 2018-02-22
• Last Update Submitted: 2018-02-28
• Study Start: 2018-03-01
• Last Update Posted: 2018-03-01
• Primary Completion: 2020-03-01
• Study Completion: 2021-03-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• Patients with age between 18 - 80 years.
• Patients diagnosed with gallstones.
• Patients diagnosed with common bile duct stone by one of the three exam (US、MRCP and CT).
• Patients diagnosed with common bile duct stone by intro-operative cholangiography or transcystic exploration.
• Patients understood the trial and accepted one of the three managements.

Exclusion Criteria

• Combined with Mirizzi syndrome and intrahepatic bile duct stones
• Previous EST/endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic biliary drainage (PTBD)
• History of upper abdominal surgery.
• Serious heart, brain, lung, metabolic diseases history.
• Pregnant women.
• Unwillingness or inability to consent for the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A	LC + LCBDE + ENBD + primary closure of CBD	-
Group B	ERCP technique + LC	-
Group C	LC + LCBDE + primary closure of CBD	-

Primary Outcome Measures

Name	Time	Method
Rate of Adverse outcomes	24 months	The patients developing complications/ the total patients

Trial Locations

Locations (1)

Tongji Hospital; 🇨🇳 Wuhan, Hubei, China