Early Vs Late Laparoscopic Cholecystectomy After Ercp For Choledocholithiasis, A Randomised Control Trial.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 136
- 试验地点
- 1
- 主要终点
- Difficulty level of cholecystectomy
研究概览
简要总结
There is controversy about timing of cholecystectomy after the common bile duct is cleared of stones. our study aims to compare the results of early vs late cholecystectomy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Care Provider)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •.All patients undergoing laparoscopic cholecystectomy who had concomitant choledocholithiasis for which ercp is done.
排除标准
- •.Non consenting indviduals
研究组 & 干预措施
Late group
Late group consist of those patients whose cholecystectomy is performed after 72 hours of ERCP.
干预措施: Late cholecystectomy (Procedure)
Early Group
Early group consist of those patients whose cholecystectomy is performed within 72 hours of ERCP .
干预措施: Early cholecystectomy (Procedure)
结局指标
主要结局
Difficulty level of cholecystectomy
时间窗: From start of surgery till end, On day 1 of surgery
the presence of diffuse pericholecystic scar adhesions, Calot's triangle with intense fibrosis, atrophic gallbladder, presence of a cholecysto-enteric or cholecyto-choledochal fistula, presence of necrotic changes, liver abscess or the presence of impacted stones and the help of a senior colleague will be considered a difficult cholecystectomy
次要结局
- Bile duct injury(From the day 1 of surgery till one month)
- Hospital stay(from day 1 of surgery till discharge, upto 1 month)
研究者
Dr Saeed Sarwar
Doctor
Khyber Teaching Hospital