Single-stage Endoscopic Retrograde Cholangiopancreatography and Laparoscopic Cholecystectomy for Cholecystocholedocholithiasis: Which to Start With?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 115
- 试验地点
- 1
- 主要终点
- Operative time operative time
研究概览
简要总结
Chronic calculous cholecystitis is associated with common bile duct (CBD) stones in approximately 12% of patients. These patients need both cholecystectomy and CBD clearance of stones. The standard for cholecystectomy is laparoscopic cholecystectomy (LC) and the mostly common treatment used for CBD clearance is Endoscopic Retrograde Cholangiopancreatography (ERCP). The two interventions can be combined to be done at the same time under single anesthesia session. Studies of single stage ERCP+LC showed confirmed the safety and efficacy of the combined technique. However, some surgeons start with the ERCP while others start with LC.The aim of this study is to compare the start with ERCP followed by LC to the start with LC followed by ERCP when the two techniques are combined at the same session for treatment of chronic calculous cholecystitis associated with CBD stones regarding efficacy and safety of the two approaches.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients underwent single stage ERCP+LC for cholecystocholedocholithiasis
排除标准
- •Contraindications to ERCP, or laparoscopic surgery
- •Cholangitis and pancreatitis
- •Previously failed ERCP
结局指标
主要结局
Operative time operative time
时间窗: time in minutes from intubation of the patient to the end of procedure
total operative time of both ERCP+LC
次要结局
- Length of hospital stay(up to 2 weeks post-operative)
- Mortality rate(up to 1 month postoperative)
- CBD clearance rate(up to 2 years)
研究者
Mohamad Raafat
Lecturer at General surgery department
Assiut University