Bile Duct Injury, Choledocholithiasis, ERCP, Laparoscopic Cholecystectomy
Conditions
Brief summary
There is controversy about timing of cholecystectomy after the common bile duct is cleared of stones. our study aims to compare the results of early vs late cholecystectomy.
Interventions
PROCEDUREEarly cholecystectomy
Early cholecystectomy is performed within 72 hours of ERCP.
PROCEDURELate cholecystectomy
Late cholecystectomy is performed after 72 hours of ERCP
Sponsors
Khyber Teaching Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
: .All patients undergoing laparoscopic cholecystectomy who had concomitant choledocholithiasis for which ercp is done.
Exclusion criteria
.Non consenting indviduals
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difficulty level of cholecystectomy | From start of surgery till end, On day 1 of surgery | the presence of diffuse pericholecystic scar adhesions, Calot's triangle with intense fibrosis, atrophic gallbladder, presence of a cholecysto-enteric or cholecyto-choledochal fistula, presence of necrotic changes, liver abscess or the presence of impacted stones and the help of a senior colleague will be considered a difficult cholecystectomy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bile duct injury | From the day 1 of surgery till one month | Bile duct injury that ocuurs intraoperatively or detected in postoperative period |
| Hospital stay | from day 1 of surgery till discharge, upto 1 month | Hospital stay determined from day of surgery till discharge |
Countries
Pakistan
Contacts
Primary ContactSaeed Sarwar, MBBS
Outcome results
None listed