Cholecystectomy, Complication, Gallbladder Stones
Conditions
Keywords
gallbladder stones, common bile duct stones, Endoscopic retrograde cholangiopancreatography
Brief summary
To discuss necessity of cholecystectomy for patients with stones in their bile ducts and gallbladders in the absence of absolute operation indications of cholecystectomy after clearance of bile duct stones with ERCP.
Detailed description
Cholecystectomy was recommended for patients with stones in their bile ducts and gallbladders in European and American countries after clearance of bile duct stones with ERCP, which reduced the incidence of biliary events. However, some researches showed that the incidence of biliary events was not reduced but increased.The purpose of this study is to discuss the necessity of cholecystectomy for patients with stones in their bile ducts and gallbladders in the absence of absolute operation indications of cholecystectomy after clearance of bile duct stones with ERCP.
Interventions
Gallbladders will be remained after clearance of bile duct stones with ERCP and conventional therapy, such as fluid replacement and prophylactic anti infection, will be accepted.
Cholecystectomy will be done right now after clearance of bile duct stones with ERCP, and then conventional therapy will be accepted.
Sponsors
Study design
Eligibility
Inclusion criteria
Obtention of a written informed consent; Clinical diagnosis of gallbladder stones and common bile duct stones; No absolute operation indications of cholecystectomy
Exclusion criteria
Intrahepatic stones; Malignant tumor disease ;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| biliary events | 12 months | The incidence of biliary events will be compared in the two groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| adverse events | 12 months | Number of participants with adverse events: type, frequency and intensity of adverse events. |
Countries
China