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Cholecyst- Versus Cystic Duct Cholangiography During Laparoscopic Cholecystectomy

This study has been completed.
Information provided by:
Theodor Bilharz Research Institute Identifier:
First received: April 9, 2010
Last updated: April 13, 2010
Last verified: April 2010
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
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

Further study details as provided by Theodor Bilharz Research Institute:

Primary Outcome Measures:
  • success rate [ Time Frame: 6 months ]

Secondary Outcome Measures:
  • procedure-related complications [ Time Frame: 3 months ]

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

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.

Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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
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Please refer to this study by its identifier: NCT01103570

Department of General Surgery * Theodore Bilharz Research Institute
Cairo, Egypt, 112124
Sponsors and Collaborators
Theodor Bilharz Research Institute
  More Information

Responsible Party: magdy elsebae, Department of General Surgery * Theodore Bilharz Research Institute Identifier: NCT01103570     History of Changes
Other Study ID Numbers: cholangiography
Study First Received: April 9, 2010
Last Updated: April 13, 2010

Keywords provided by Theodor Bilharz Research Institute:
Laparoscopic cholecystectomy
Intra-operative cholangiography

Additional relevant MeSH terms:
Biliary Tract Diseases
Digestive System Diseases
Gallbladder Diseases
Pathological Conditions, Anatomical processed this record on April 26, 2017