Acute Cholecystitis With Concomitant Choledocholithiasis: Unicentric Study of Prevalence and Predictive Factors for Its Diagnosis and Management
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Cholecystitis
- Sponsor
- Hospital de Mataró
- Enrollment
- 120
- Primary Endpoint
- CBDS risk
- Last Updated
- 5 years ago
Overview
Brief Summary
The management of cholelithiasis with choledocolithiasis is extensively known, whereas for Acute Calculous Cholecystitis (ACC) with choledocolithiasis or common bile duct stones (CBDS), a common entity, there is a lack of protocols for optimising treatment. The main hypothesis of our study is: a correct stratification of the concomitant CBDS probability at ACC diagnosis would optimize its treatment as early targeted treatment could be performed. One-step management of ACC with CBDS by a specialised hepatobiliary team would represent a benefit to the patient in terms of morbi-mortality, admission time and number of admissions. The aim of our study is to identify high / intermediate probability criteria for CBDS associated when diagnosing CA. This is a retrospective study of patients who were operated on with an emergent cholecystectomy in our center from 01/2012 to 12/2019.
Detailed Description
Data will be obtained from the hospital (Consorci Sanitari del Maresme) clinical database. The Ethics Committee approval has been obtained.
Investigators
Ana Ciscar
General and digestive surgery specialist
Hospital de Mataró
Eligibility Criteria
Inclusion Criteria
- •Age ≥18 years
Exclusion Criteria
- •Non urgent cholecystectomy
Outcomes
Primary Outcomes
CBDS risk
Time Frame: From diagnostic to surgery
Probability of CBDS presence at the moment of AC diagnose based on classification on risk modified from Maple et al. 2010: high, intermediate or low
Secondary Outcomes
- Postoperative morbidity(From surgery to 1 year)
- Readmission(From discharge to 1 year)
- Intraoperative cholangiography(During the surgery)