to study whether laparoscopic bile duct exploration after failed endoscopy â?? does it differ from a primary bile duct exploratio
- Conditions
- Health Condition 1: null- ASA 1/2 pateints with concomitant CBD stones and gall stones
- Registration Number
- CTRI/2012/11/003118
- Lead Sponsor
- AIIMS
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Not specified
- Target Recruitment
- 80
1.Patients with both symptomatic gall stones and choledocholithiasis
2.Patients in whom a prior ERCP had failed to extract a CBD stone
Failure of ERCP will be defined as:
1.Unsuitable anatomy such as gastric outlet obstruction, large periampullary diverticulum
2.Failure to cannulate the bile duct
3.Failure to perform adequate sphincterotomy
4.Failure to extract the stone for various reasons such as large stone, impacted stones and/or multiple stones
1.Patients with acute cholecystitis
2.Patients with acute cholangitis
3.Patients with obstructive jaundice with serum bilirubin > 15mg/dl
4.Patients with post ERCP pancreatitis
5.Patients who do not give consent for participate in the study
6.Patients with previous hepatobiliary surgery
7.Patients with morbid obesity
8.Patients with uncorrectable coagulopathy
9.Patients unfit for GA
10.Patients with significant comorbid conditions
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method â?¢To assess the success and complications of laparoscopic CBD exploration for choledocholithiasis after unsuccessful endoscopic stone extraction to extract common bile duct stones <br/ ><br>â?¢To compare the success, ease of surgery and complications between primary laparoscopic CBD exploration and laparoscopic CBD exploration following unsuccessful endoscopic stone extraction <br/ ><br>Timepoint: All patients will be followed postoperatively at 1 week, 3 months, 6 months and at one year or till the time they are stone free. Postoperative course of the patients will be noted
- Secondary Outcome Measures
Name Time Method Complications, hospital stay, and cost effectivenessTimepoint: Post operative