Concomitant gallbladder stones and common bile duct stones
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Gallstones and CBD stones are indicated by image examinations; 2. CT or MRCP shows that the biggest CBD stone is between 1.0-2.5cm, diameter of CBD is = 100 x 10^9/L, ALT or AST <= 3 x ULN; TBIL <= 85µmol/L; creatinine <= 1.5 x ULN; INR < 1.5PT < ULN+4s; 8. Patients with good compliance can follow the protocol of the study and sign the informed consent.
Exclusion criteria
Exclusion criteria: 1. Acute obstructive pyogenic cholangitis; 2. Combining with acute pancreatitis before operation; 3. Malignancy tumor of bile duct; 4. After subtotal gastrectomy; 5. After cholecystectomy; 6. Combining with intrahepatic duct stones indicated by imaging examinations; 7. Obvious stenosis of bile duct, immunity or sclerosing cholangitis; 8. HCG positive female or lactating female; 9. Cachexy or poor general conditions; 10. Have any conditions described below 12 months before study: myocardial infarction, severe/unstable angina pectoris, coronary artery bypass grafting, CHF, stroke (including transient ischemic cerebrovascular disease), pulmonary embolism, in progress: arrhythmia over stage 2 in NCI-CTCAE, QT interval prolongation (male > 450ms, female > 470ms); 11. Have had malignancy tumor in 5 years; 12. Renal insufficiency which needs hemodialysis or peritoneal dialysis; 13. Other severe dysfunction of other organ; 14. Haemophilia or bleeding tendency with anticoagulant therapy; 15. Have had organ grafting; 16. Have other physiologically or nervous system diseases and abnormal condition of laboratory examination which can increase risks related to the study or disturb discussion of the study results.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Operative successful rate;early postoperative complications and death;late postoperative complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operative time of "one step";Operative time of ERCP;length of stay;patients' satisfaction;diastase & lipase; | — |
Countries
China
Contacts
Shanghai Tenth Peoples' Hospital