choledochal stone treatment. Calculus of bile duct without cholangitis or cholecystitis
Conditions
Interventions
Intervention 1: All patients undergo operation with right subcostal incision, then the vertical incision made in the CBD. The stones take out with stone forceps and saline flushing.complete clearace
T-tube of appropriate size insert into the CBD incision and CBD incision will be closed using interrupted absorbable sutures. Intervention 2: In intervention group
after incision of CBD and extraction of stones and intraoperative colangiography
CBD will be closed primarily without T-tube insertion by interrupted absorbable sutures.
Treatment - Surgery
All patients undergo operation with right subcostal incision, then the vertical incision made in the CBD. The stones take out with stone forceps and saline flushing.complete clearace of CBD comfirm
T-tube of appropriate size insert into the CBD incision and CBD incision will be closed using interrupted absorbable sutures.
In intervention group
Sponsors
Deputy Dean of Reseach,Tabriz University of Medical Siences
Abdolhamid Chavoshi Khamneh, MD
Eligibility
Sex/Gender
All
Age
20 Years to 70 Years
Inclusion criteria
Inclusion criteria: inclusion criteria: jaundice on physical examination or hyperbilirubinemia in the presence of gall stone disease; choledochal stones in ultrasonnography; ERCP or MRCP, intraoperative palpation of stones in CBD. exclusion critria: patients with acute pancreatitis or colangitis presentation; suspicious malignancy; lesser than 20 or older than 80 Y/O; patients with history of laparotomy; history of heart failure; renal failure; cerebrovascular accidents and myocardial infarction; obese patients with BMI>35.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Biliary leak. Timepoint: During hospital stay,2 weeks,1 month, 3 months after surgery. Method of measurement: milliliter.;Intra-abdominal collections. Timepoint: 1 month, 3 months after surgery. Method of measurement: ultrasonography.;Residual stones. Timepoint: 2 weeks,1 month, 3 months after surgery. Method of measurement: ultrasonography, T-tube colangiography.;Wound infection. Timepoint: During hospital stay,2 weeks,1 month, 3 months after surgery. Method of measurement: suppurative secretions-Ratio. | — |
Secondary
| Measure | Time frame |
|---|---|
| Hospital stay. Timepoint: During admission. Method of measurement: day-calendar.;Operating time. Timepoint: during admission. Method of measurement: hour.;Time to removal of drain. Timepoint: during admission. Method of measurement: day-calendar. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAbdolhamid Chavoshi Khamneh,MD
Tabriz University of Medical Siences
Outcome results
None listed