Common Bile Duct Calculi
Conditions
Brief summary
The goal of this work is to assess the best time to perform LC combined with LCBD exploration and the feasibility and safety of such procedure in patients with combined GBS and CBDS after failure of ERCP extraction of CBD stones .
Interventions
DEVICElaparoscopy
laparoscopic exploration of common bile duct
Sponsors
Assiut University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
1. All patients that presented with calcular obstructive jaundice 2ry to CBD stones. 2. Failed of extraction of common bile duct stone by ERCP.
Exclusion criteria
1. patients presented by cholangitis. 2. patients presented by acute pancreatitis. 3. Patients that developed post ERCP pancreatitis ,bleeding , perforation. 4. history of previous biliary surgery rather than cholecystectomy. 5. history of major upper abdominal surgery. 6. pregnant females. 7. patients with liverchirosis, abdominal malignancy , and those unfit for surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraoperative complications | Baseline | 1. Assess the operative time in hours 2. intraoperative blood loss in millilitres 3. intraoperative organ injury (yes or no) 4. conversion to open surgery (yes or no) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative complications | Baseline | 1. Postoperative bleeding in millilitres 2. biliary leakage in millilitres 3. missed stone (yes or no) 4. recumbency complications which are monitored for 30 days postoperatively. 5.Overall length of hospital stay and if Intensive Care Unit (ICU) stay needed will also be recorded in days. |
Contacts
Primary ContactEbram Abdelmalak Abd Awad, Resident dr
Outcome results
None listed