Cholecyst- Versus Cystic Duct Cholangiography During Laparoscopic Cholecystectomy

Theodor Bilharz Research Institute

Status and phase: Completed; Phase 4

Conditions: Biliary Tract Anatomy; Gall Stone Disease; Laparoscopic Cholecystectomy; Common Bile Duct Stones.

Treatments: Procedure: cholecystocholangiography; Procedure: cystic duct cholangiography

Study type: Interventional

Funder types: Other

Identifiers

NCT01103570

cholangiography

Details and patient eligibility

About

Standard cystic duct cholangiography (CDC) during laparoscopic cholecystectomy can be difficult, time consuming and bile duct injury may be caused by attempts to cannulate the cystic duct. Operative cholangiography performed by direct puncture of the gall bladder fundus or Cholecystocholangiography (CCC) is a valid and easier alternative.

Full description

This study was conducted on 60 patients with symptomatic gall bladder stones undergoing laparoscopic cholecystectomy. Patients were randomized into two groups: Group (1) was evaluated by cholecyst-cholangiography by puncture through the gall bladder fundus. Group (2) was evaluated for the standard cystic duct cholangiography.Cholangiography was considered successful if it could be performed with complete delineation of the biliary tree with flow of the dye through the duodenum occurred. It is to be noted that inability to cannulate the cystic duct for example, is considered a failure.

Enrollment: 60 patients

Sex: All

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with symptomatic gall bladder stones.

Exclusion criteria

• unfit Patients and/or had previous surgery
• history of obstructive jaundice and acute attacks or previous ERCP were excluded

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

group 1 cholecystocholangiography

Experimental group

Description:

cholangiography via gall bladder

Treatment:

Procedure: cholecystocholangiography

group2 cystic duct cholangiography

Experimental group

Description:

cystic duct cholangiography

Treatment:

Procedure: cystic duct cholangiography