Cholelithiasis, Common Bile Duct
Conditions
Brief summary
At the Kepler University Hospital Linz all variants of ERCP (preoperative, intraoperative, postoperative ERCP) are performed in cases of simultaneous cholecysto- and choledocholithiasis. Hardly any other hospital in Austria prefers intraoperative ERCP or offers it at all. A standardized procedure with implemented logistics has been established. This study compares intraoperative and postoperative ERCP.
Detailed description
At the Kepler University Hospital Linz all variants of ERCP (preoperative, intraoperative, postoperative ERCP) in cases of simultaneous cholecysto- and choledocholithiasis are performed. Usually an intraoperative ERCP followed by a preoperative ERCP is preferred. At the Kepler University hospital a high level of expertise in endoscopy and an interdisciplinary endoscopy team (surgical and internal medicine department) makes this high level of effort possible. Hardly any other hospital in Austria prefers intraoperative ERCP or offers it at all. A standardized procedure with implemented logistics has been established. The aim of this study is to demonstrate and compare the advantages of both procedures at KUK from 1.1.2020 to 30.6.2023 (intraoperative and postoperative ERCP) in terms of morbidity, endoscopic success and the better way for patients and surgeons in clinics.
Interventions
PROCEDUREendoscopic retrograde cholangiopancreatography
endoscopical clearance of the common bile duct
Sponsors
Kepler University Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes
Inclusion criteria
* simultaneous cholecysto-, choledocholithiasis * emergency or elective * confirmed choledocholithiasis * intraoperative ERCP * preoperative ERCP followed by cholecystectomy * postoperative ERCP
Exclusion criteria
\- \< 18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-ERCP Pancreatitis | 48 hours after intervention | radiological/blood sample/pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Surgical method | at surgery | LSK, robotic, open |
| Re-choledocholithiasis | up to one year after first admission | choledocholithiasis after ERCP |
| LOS | 9 months after first admission | length of stay |
| Successful ERCP | at ERCP | yes or no |
| Costs | until 30 days after second surgery and/or ERCP | costs for one patient |
| Re-Intervenition | 30 days after surgery and/or ERCP | any endoscopic/surgical/radiological intervention after surgery or ERCP |
Countries
Austria
Outcome results
None listed