Gall Stones, Common Bile Duct
Conditions
Keywords
fluorescence, cholangiography, cholecystectomy, laparoscopic
Brief summary
Background. X-ray cholangiography has a high sensitivity and specificity of detecting bile duct stones and is the gold standard. There are no studies describing the sensitivity and specificity of IFC for bile duct stone detection. Research question. What is the sensitivity of IFC to visualize bile duct stones? Method. Prospective study with 40 patients undergoing planned laparoscopic cholecystectomy with preoperative magnetic resonance cholangiopancreatography (MRCP) (gold standard) and intraoperative IFC, X-ray cholangiography and choledochuscopy in that order. Primary outcome. Sensitivity of visualization of bile duct stone by fluorescent cholangiography and secondary outcome is visualization of anatomy.
Interventions
MRCP verified gall stones in the bile ducts
MRCP without bile duct stones
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients suspected of having bile duct stones by either blood samples, MRCP or medical history (see definitions) * Patient age ≥ 18 years * Preoperative MRCP * Operation performed by a project surgeon
Exclusion criteria
* Open cholecystectomy (including conversion from laparoscopic to open) * Acute cholecytitis or cholangitis * Pancreatitis * Iodine or indocyanine green allergy * Liver or renal insufficiency * Thyrotoxicosis * Cholecystectomy not the primary surgical procedure * Pregnancy or lactation * Legally incompetent for any reason * Withdrawal of inclusion consent at any time
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity and specificity | 120mins | Sensitivity and specificity of visualization of bile duct stones by intraoperative fluorescent cholangiography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visualization | 120mins | Visualization of the extrahepatic bile ducts |
Countries
Denmark