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Cholecyst- Versus Cystic Duct Cholangiography During Laparoscopic Cholecystectomy

Phase 4
Completed
Conditions
Laparoscopic Cholecystectomy
Gall Stone Disease
Biliary Tract Anatomy
Common Bile Duct Stones.
Interventions
Procedure: cholecystocholangiography
Procedure: cystic duct cholangiography
Registration Number
NCT01103570
Lead Sponsor
Theodor Bilharz Research Institute
Brief Summary

Standard cystic duct cholangiography (CDC) during laparoscopic cholecystectomy can be difficult, time consuming and bile duct injury may be caused by attempts to cannulate the cystic duct. Operative cholangiography performed by direct puncture of the gall bladder fundus or Cholecystocholangiography (CCC) is a valid and easier alternative.

Detailed Description

This study was conducted on 60 patients with symptomatic gall bladder stones undergoing laparoscopic cholecystectomy. Patients were randomized into two groups: Group (1) was evaluated by cholecyst-cholangiography by puncture through the gall bladder fundus. Group (2) was evaluated for the standard cystic duct cholangiography.Cholangiography was considered successful if it could be performed with complete delineation of the biliary tree with flow of the dye through the duodenum occurred. It is to be noted that inability to cannulate the cystic duct for example, is considered a failure.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • patients with symptomatic gall bladder stones.
Exclusion Criteria
  • unfit Patients and/or had previous surgery
  • history of obstructive jaundice and acute attacks or previous ERCP were excluded

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
group 1 cholecystocholangiographycholecystocholangiographycholangiography via gall bladder
group2 cystic duct cholangiographycystic duct cholangiographycystic duct cholangiography
Primary Outcome Measures
NameTimeMethod
success rate6 months
Secondary Outcome Measures
NameTimeMethod
procedure-related complications3 months

Trial Locations

Locations (1)

Department of General Surgery * Theodore Bilharz Research Institute

🇪🇬

Cairo, Egypt

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