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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early Group | Experimental | Early group consist of those patients whose cholecystectomy is performed within 72 hours of ERCP . |
|
| Late group | Experimental | Late group consist of those patients whose cholecystectomy is performed after 72 hours of ERCP. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early cholecystectomy | Procedure | Early cholecystectomy is performed within 72 hours of ERCP. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Difficulty level of cholecystectomy | 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 | From start of surgery till end, On day 1 of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Bile duct injury | Bile duct injury that ocuurs intraoperatively or detected in postoperative period | From the day 1 of surgery till one month |
| Hospital stay | Hospital stay determined from day of surgery till discharge |
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Inclusion criteria :
.All patients undergoing laparoscopic cholecystectomy who had concomitant choledocholithiasis for which ercp is done.
exclusion criteria:
.Non consenting indviduals
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Saeed Sarwar, MBBS | Contact | +923420973863 | saeedkmc2020@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Khyber teaching hospital | Recruiting | Peshawar | Khyberpukhtunkhwa | 25000 | Pakistan |
Patients confidentiality maybe breached
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| ID | Term |
|---|---|
| D042883 | Choledocholithiasis |
| ID | Term |
|---|---|
| D003137 | Common Bile Duct Diseases |
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
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| Late cholecystectomy | Procedure | Late cholecystectomy is performed after 72 hours of ERCP |
|
| from day 1 of surgery till discharge, upto 1 month |
| D002769 | Cholelithiasis |