Choledocholithiasis
Conditions
Keywords
Choledocholithiasis; common bile duct; cholangiogram.
Brief summary
A study that included patients of any gender between 15 and 70 years, with the diagnosis of choledocholithiasis who required a cholecystectomy with an exploration of bile ducts. Conventional cholecystectomy was performed and a T-tube was inserted in the common bile duct (CBD) to measure the intraluminal pressure immediately after the procedure, and weekly thereafter, with a 6-week follow-up. A control T-tube radiological study was performed at six weeks to exclude residual stones.
Detailed description
A clinical, controlled, prospective, longitudinal, descriptive, observational and double-blinded study was designed. Patients of any gender between 15 and 70 years, with a diagnosis of choledocholithiasis, and who required a cholecystectomy with an exploration of bile ducts were included. Conventional cholecystectomy was performed and perioperative T-tube CBD pressure was registered immediately after the procedure, and weekly thereafter, with a 6-week follow-up. Control T-tube cholangiogram was performed at six weeks to exclude residual stones. Data was analyzed with T-test for parametric values.
Interventions
PROCEDURECholecystectomy and common bile duct exploration
During elective open cholecystectomy, a basal commcn dile duct (CBD) manometry was obtained immediately after cholecystectomy, with a 10 Fr. silicone T tube introduced into the cystic duct and connected to a glass manometer.
Sponsors
Hospital General de Chihuahua - Dr. Salvador Zubirán Anchondo
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
Choledocholithiasis -
Exclusion criteria
To not complete the follow-up period \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Basal common bile duct (CBD) pressure | Intraoperative | Basal CBD manometry was obtained immediately after cholecystectomy |
| First week control common bile duct pressure | First week | CBD manometry was obtained one week after cholecystectomy |
| Second week control common bile duct pressure | Second week | CBD manometry was obtained two weeks after cholecystectomy |
| Third week control common bile duct pressure | Third week | CBD manometry was obtained three weeks after cholecystectomy |
| Fourth week control common bile duct pressure | Fourth week | CBD manometry was obtained four weeks after cholecystectomy |
| Fifth week control common bile duct pressure | Fifth week | CBD manometry was obtained five weeks after cholecystectomy |
| Sixth week control common bile duct pressure | Sixth week | CBD manometry was obtained six weeks after cholecystectomy |
Contacts
PRINCIPAL_INVESTIGATORDavid Saldaña-Cortés, MD
General Surgery Service
Outcome results
None listed