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Around 10-18% of patients undergoing cholecystectomy for gallstones have common bile duct (CBD) stones. Currently, various procedures for the treatment of cholecystocholedocholithiasis are available including open cholecystectomy plus open common bile duct exploration (OC+OCBDE), laparoscopic cholecystectomy plus laparoscopic common bile duct exploration (LC+LCBDE), may be trans-cystic or trans-choledochal, and laparoscopic cholecystectomy plus endoscopic retrograde cholangiopancreatography (LC+ERCP), which may be performed pre, at, or after LC.
Around 10-18% of patients undergoing cholecystectomy for gallstones have common bile duct (CBD) stones. Currently, various procedures for the treatment of cholecystocholedocholithiasis are available including open cholecystectomy plus open common bile duct exploration (OC+OCBDE), laparoscopic cholecystectomy plus laparoscopic common bile duct exploration (LC+LCBDE), may be trans-cystic or trans-choledochal, and laparoscopic cholecystectomy plus endoscopic retrograde cholangiopancreatography (LC+ERCP), which may be performed pre, at, or after LC.
Single-session treatment of gallbladder and CBD stones is safe, efficient, shortens hospital stay, and is less expensive than staged procedures.
Although there is some evidence suggesting that LCBDE may be associated with a lower rate of retained stones compared with ERCP, previous studies comparing LCBDE with ERCP and stone extraction have collectively failed to demonstrate the superiority of one approach over the other.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy | Experimental | endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy |
|
| laparoscopic common bile duct exploration and laparoscopic cholecystectomy | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy | Procedure | laparoscopic removal of gallbladder and endoscopic extraction of common bile duct stones |
| Measure | Description | Time Frame |
|---|---|---|
| success rate | successful laparoscopic cholecystectomy and successful common bile duct stone extraction | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| operative time | the overall time of the procedure | from 1 to 5 hours |
| morbidity | any intraoperative or postoperative adverse event | 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mohammed A Omar | General Surgery Department, Faculty of Medicine, South Valley University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mohammed Ahmed Omar | Qina | Qena Governorate | 83523 | Egypt |
After publication
For 1 year
After publication
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|
| aparoscopic common bile duct exploration and laparoscopic cholecystectomy | Procedure | laparoscopic removal of gallbladder and laparoscopic extraction of common bile duct stones |
|
|
| mortality | death of patient | 3 years |
| Hospital stay | the length of hospital stay from the day of admission to the day of discharge | 30 days |
| the number of hospital readmission | 3 years |
| the number of postoperative intervention | 3 years |
| The total cost of treatment | 30 days |
| ID | Term |
|---|---|
| D042882 | Gallstones |
| ID | Term |
|---|---|
| D002769 | Cholelithiasis |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D041761 | Cholecystolithiasis |
| D005705 | Gallbladder Diseases |
| D002137 | Calculi |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D002760 | Cholangiopancreatography, Endoscopic Retrograde |
| D017081 | Cholecystectomy, Laparoscopic |
| ID | Term |
|---|---|
| D002758 | Cholangiography |
| D011860 | Radiography, Abdominal |
| D011859 | Radiography |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D003938 | Diagnostic Techniques, Digestive System |
| D016145 | Endoscopy, Digestive System |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019060 | Minimally Invasive Surgical Procedures |
| D002763 | Cholecystectomy |
| D001662 | Biliary Tract Surgical Procedures |
| D010535 | Laparoscopy |
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