NCT02947256

Brief Summary

Aimed to evaluate laparoscopic cholecystectomy by retro-infundibular (RI) approach compared to standard laparoscopic cholecystectomy (SLC) in difficult cases with scarred chole-cystohepatic (Calot's) triangle.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
125

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jul 2013

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2013

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2016

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

October 22, 2016

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 27, 2016

Completed
Last Updated

November 1, 2016

Status Verified

October 1, 2016

Enrollment Period

2.5 years

First QC Date

October 22, 2016

Last Update Submit

October 29, 2016

Conditions

Outcome Measures

Primary Outcomes (2)

  • conversion to open

    the incidence of conversion to open

    24 hours

  • biliary injury

    the incidence of biliary injury

    2 weeks

Secondary Outcomes (3)

  • operative time

    24 hours

  • hospital stay

    6 weeks

  • mortality

    6 weeks

Study Arms (2)

standard laparoscopic cholecystectomy

ACTIVE COMPARATOR

This included the classic dissection of Calot's triangle to achieve the CVS, with separate clipping and division of cystic duct and artery.

Procedure: standard laparoscopic cholecystectomy

RI approach

EXPERIMENTAL

Retroinfundibular laparoscopic cholecystectomy: This included separation of the lower third of GB from its bed down to its pedicle (artery and duct) with mass ligation of both. Operative procedure of by RI approach:

Procedure: RI approach

Interventions

which included the classic dissection of Calot's triangle to achieve the CVS, with separate clipping and division of cystic duct and artery

Also known as: SLC
standard laparoscopic cholecystectomy
RI approachPROCEDURE

which included separation of the lower third of GB from its bed down to its pedicle (artery and duct) with mass ligation of both.

RI approach

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • patient with gallstones
  • score difficulty according to Gupta et al 2013 \> 6
  • patient fit for laparoscopic surgery

You may not qualify if:

  • score difficulty according to Gupta et al 2013 \> 6
  • patient unfit for laparoscopic surgery
  • refusal to share in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Faculty of medicine

Minya, 61511, Egypt

Location

Minia University Hospital

Minya, 61511, Egypt

Location

MeSH Terms

Conditions

Gallstones

Condition Hierarchy (Ancestors)

CholelithiasisBiliary Tract DiseasesDigestive System DiseasesCholecystolithiasisGallbladder DiseasesCalculiPathological Conditions, AnatomicalPathological Conditions, Signs and Symptoms

Study Officials

  • Alaa M Sewefy, MD

    Lecturer & consultant of general surgery, Department of surgery, Minia university hospital, Egypt.

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, Lecturer & consultant of general surgery, Department of surgery, Minia university hospital, Egypt

Study Record Dates

First Submitted

October 22, 2016

First Posted

October 27, 2016

Study Start

July 1, 2013

Primary Completion

January 1, 2016

Study Completion

January 1, 2016

Last Updated

November 1, 2016

Record last verified: 2016-10

Data Sharing

IPD Sharing
Will not share

Locations