Laparoscopic Treatment of Common Bile Duct Stones : What Are the Limits and When Should we Call the Endoscopist ?
Treatment of Common Bile Duct Stones in a Laparoscopic Center : What Are the Limits and When Should we Call the Endoscopist ? Observationnal Study Between 2007-2019
1 other identifier
observational
222
1 country
1
Brief Summary
The aim of this study was to identify some risk factors of failure of surgical management of common bile duct stones, in our center between 2007 and 2019.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2007
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2020
CompletedFirst Submitted
Initial submission to the registry
July 8, 2020
CompletedFirst Posted
Study publicly available on registry
July 13, 2020
CompletedSeptember 3, 2020
July 1, 2020
13 years
July 8, 2020
September 1, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
morbimortality
Clavien dindo classification
1 day
Secondary Outcomes (1)
risk factors of total laprascopic treatment failure.
1 day
Study Arms (2)
Success of LCBDE
Patients with a fully laparoscopic surgical treatment of common bile duct stones
Failure of LCBDE
Patients with a laparoscopic cholecystectomy but an endoscopic treatment of common bile duct stone with an ERCP performed intra, per or postoperatively
Interventions
Laparoscopic common bile duct exploration. ERCP (Endoscopic Retrograde Cholangiopancreatography) with sphincterotomy : : removal of common bile duct stones trought the cystic duct (transcystically) with a Dormia or a choledoscope, or throught the common bile duct with a choledoscope introduced throught an incision of the common bile duct. ERCP with sphincterotomy: removal of common bile duct stones throught the duodenal papilla, and a sphincterotomy of the oddi sphincter during the same time.
Eligibility Criteria
All patients aged more than 18, hospitalized in Montpellier University Hospital between 2007 and 2019 requiring a laparoscopic cholecystectomy for symptomatic biliary disease associated to a common bile duct stone highlighted on preoperative imaging or intraoperative cholangiography, which will be treated surgically or endoscopically during the same hospital stay.
You may qualify if:
- More than 18 years old
- Between 2007 and 2019
- Montpellier University Hospital
- Laparoscopic cholecystectomy for symptomatic cholelithiasis associated to common bile duct stones
- Common bile duct stones highlighted on preoperative imaging or intraoperative cholangiography
- Common bile duct stones treated during the same hospital stay surgically or endocopically
You may not qualify if:
- Laparotomy
- Previous ERCP
- Less than 18 years old
- Lost to follow up
- Lack of data \> 10%
- Other surgical procedure associated at the same time
- Previous cholecystectomy
- Caroli's disease
- Severe cholangitis or acute pancreatitis
- Pigmentary or hydatic lithiasis
- Laparoscopic cholecystectomy for other indication than symptomatic cholelithiasis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Uhmontpellier
Montpellier, 34295, France
Related Publications (1)
Genet D, Souche R, Roucaute S, Borie F, Millat B, Valats JC, Fabre JM, Herrero A. Upfront Laparoscopic Management of Common Bile Duct Stones: What Are the Risk Factors of Failure? J Gastrointest Surg. 2023 Sep;27(9):1846-1854. doi: 10.1007/s11605-023-05687-9. Epub 2023 Apr 27.
PMID: 37106206DERIVED
Study Officials
- STUDY DIRECTOR
Astrid HERRERO, MD, PHD
University Hospital, Montpellier
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 8, 2020
First Posted
July 13, 2020
Study Start
January 1, 2007
Primary Completion
December 30, 2019
Study Completion
June 1, 2020
Last Updated
September 3, 2020
Record last verified: 2020-07