Benefits and Advantages of Intraoperative ERCP Versus Therapeutic Splitting in Cholecysto-, Choledocholithiasis in a High Expertise Center
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Post-ERCP Pancreatitis
研究概览
简要总结
At the Kepler University Hospital Linz all variants of ERCP (preoperative, intraoperative, postoperative ERCP) are performed in cases of simultaneous cholecysto- and choledocholithiasis. Hardly any other hospital in Austria prefers intraoperative ERCP or offers it at all. A standardized procedure with implemented logistics has been established. This study compares intraoperative and postoperative ERCP.
详细描述
At the Kepler University Hospital Linz all variants of ERCP (preoperative, intraoperative, postoperative ERCP) in cases of simultaneous cholecysto- and choledocholithiasis are performed. Usually an intraoperative ERCP followed by a preoperative ERCP is preferred. At the Kepler University hospital a high level of expertise in endoscopy and an interdisciplinary endoscopy team (surgical and internal medicine department) makes this high level of effort possible. Hardly any other hospital in Austria prefers intraoperative ERCP or offers it at all. A standardized procedure with implemented logistics has been established.
The aim of this study is to demonstrate and compare the advantages of both procedures at KUK from 1.1.2020 to 30.6.2023 (intraoperative and postoperative ERCP) in terms of morbidity, endoscopic success and the better way for patients and surgeons in clinics.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •simultaneous cholecysto-, choledocholithiasis
- •emergency or elective
- •confirmed choledocholithiasis
- •intraoperative ERCP
- •preoperative ERCP followed by cholecystectomy
- •postoperative ERCP
排除标准
- •< 18 years
结局指标
主要结局
Post-ERCP Pancreatitis
时间窗: 48 hours after intervention
radiological/blood sample/pain
次要结局
- Re-choledocholithiasis(up to one year after first admission)
- Surgical method(at surgery)
- Successful ERCP(at ERCP)
- Re-Intervenition(30 days after surgery and/or ERCP)
- LOS(9 months after first admission)
- Costs(until 30 days after second surgery and/or ERCP)
研究者
Dr. Sandra Raab
Dr. med. univ.
Kepler University Hospital