Cholecyst- Versus Cystic Duct Cholangiography During Laparoscopic Cholecystectomy - Full Text View

Purpose

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.

Condition	Intervention	Phase
Laparoscopic Cholecystectomy Gall Stone Disease Biliary Tract Anatomy Common Bile Duct Stones.	Procedure: cholecystocholangiography Procedure: cystic duct cholangiography	Phase 4

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Diagnostic
Official Title:	Cholecystocholangiography Versus Cystic Duct Cholangiography During Laparoscopic Cholecystectomy: A Prospective Controlled Randomized Trial

Resource links provided by NLM:

MedlinePlus related topics: Anatomy Gallstones

U.S. FDA Resources

Further study details as provided by Theodor Bilharz Research Institute:

Primary Outcome Measures:

success rate [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

procedure-related complications [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]

Enrollment:	60
Study Start Date:	March 2009
Study Completion Date:	March 2010
Primary Completion Date:	January 2010 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: group 1 cholecystocholangiography cholangiography via gall bladder	Procedure: cholecystocholangiography a central venous pressure catheter was introduced through the anterior abdominal wall subcostally in a direction parallel to the gallbladder bed under direct vision so that it emerges close to the gall bladder. Then the catheter was advanced into the fundus of the gall bladder . The dye was prepared by diluting 20ml of 76% urografin with 20ml normal saline in a 50ml syringe Other Name: cholangiography via gallbladder
Experimental: group2 cystic duct cholangiography cystic duct cholangiography	Procedure: cystic duct cholangiography Then a 14G cannula was introduced through the anterior abdominal wall subcostally, (size 4F), was introduced through this cannula. The catheter was inserted into the cystic duct no more than 1 cm, by a grasper Then a 50ml syringe with the diluted urografin dye, as above, was attached to the catheter and cholangiography was performed by slowly injecting the dye under control of C-arm image intensifier. Other Name: cholangiography via cystic dict

Arms

Assigned Interventions

Experimental: group 1 cholecystocholangiography

cholangiography via gall bladder

Procedure: cholecystocholangiography

a central venous pressure catheter was introduced through the anterior abdominal wall subcostally in a direction parallel to the gallbladder bed under direct vision so that it emerges close to the gall bladder. Then the catheter was advanced into the fundus of the gall bladder . The dye was prepared by diluting 20ml of 76% urografin with 20ml normal saline in a 50ml syringe

Other Name: cholangiography via gallbladder

Experimental: group2 cystic duct cholangiography

cystic duct cholangiography

Procedure: cystic duct cholangiography

Then a 14G cannula was introduced through the anterior abdominal wall subcostally, (size 4F), was introduced through this cannula. The catheter was inserted into the cystic duct no more than 1 cm, by a grasper Then a 50ml syringe with the diluted urografin dye, as above, was attached to the catheter and cholangiography was performed by slowly injecting the dye under control of C-arm image intensifier.

Other Name: cholangiography via cystic dict

Detailed 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.

Eligibility

Ages Eligible for Study:	18 Years to 55 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

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

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01103570

Locations

Egypt
Department of General Surgery * Theodore Bilharz Research Institute
Cairo, Egypt, 112124

Sponsors and Collaborators

Theodor Bilharz Research Institute

More Information

No publications provided

Responsible Party:	magdy elsebae, Department of General Surgery * Theodore Bilharz Research Institute
ClinicalTrials.gov Identifier:	NCT01103570 History of Changes
Other Study ID Numbers:	cholangiography
Study First Received:	April 9, 2010
Last Updated:	April 13, 2010
Health Authority:	Egypt: Institutional Review Board

Keywords provided by Theodor Bilharz Research Institute:

Laparoscopic cholecystectomy
Intra-operative cholangiography

Additional relevant MeSH terms:

Calculi
Gallstones
Cholelithiasis
Cholecystolithiasis

Pathological Conditions, Anatomical
Biliary Tract Diseases
Digestive System Diseases
Gallbladder Diseases

ClinicalTrials.gov processed this record on May 19, 2013