Single-stage ERCP and Laparoscopic Cholecystectomy for Cholecystocholedocholithiasis: Which to Start With?
- Conditions
- Choledocholithiasis With CholecystitisBiliary Stones
- Registration Number
- NCT06340594
- Lead Sponsor
- Assiut University
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 115
- Patients underwent single stage ERCP+LC for cholecystocholedocholithiasis
- Contraindications to ERCP, or laparoscopic surgery
- Cholangitis and pancreatitis
- Previously failed ERCP
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Operative time operative time time in minutes from intubation of the patient to the end of procedure total operative time of both ERCP+LC
- Secondary Outcome Measures
Name Time Method Mortality rate up to 1 month postoperative number of deaths intraoperative and postoperative related to surgery
CBD clearance rate up to 2 years success rate of retrieval of stones
Length of hospital stay up to 2 weeks post-operative days of hospital stay
Trial Locations
- Locations (1)
Faculty of Medicine-Assiut University -Assiut-Egypt
🇪🇬Assiut, Asyut, Egypt
Faculty of Medicine-Assiut University -Assiut-Egypt🇪🇬Assiut, Asyut, Egypt