CBD Repair Over T-tube or Primary Repair
Keywords
Abstract
Description
Common Bile Duct Exploration is a surgery that involves opening the main bile duct that drains from liver and gallbladder into the first part of the small intestine (the duodenum). This is needed when a gallstone drops out of the gallbladder into the duct and partially or completely blocks up the duct. This can cause jaundice , fever and chills, severe abdominal pain due to infection / inflammation of the bile duct, gallbladder or pancreas. This most often involves admission to the hospital and urgent intervention. Most commonly, a procedure called an ERCP is used to clear out the stones from the bile duct. If gallbladder will have to be removed soon to prevent this potentially serious condition from occurring again.
During the operation the investigators remove gallbladder then a duct exploration is performed. This involves opening the duct directly and removing the stones.
Prior to Common Bile Duct Exploration surgery, patient will be asked not to eat anything after midnight prior to the surgery. patient will be given specific instructions from the surgeon or anesthesiologist about which medications he should or should not take prior to the surgery. patient should not take any blood thinning medications at least 5 days prior to your operation. This should be discussed with the surgeon at the preop visit.
Dates
Last Verified: | 08/31/2019 |
First Submitted: | 09/24/2019 |
Estimated Enrollment Submitted: | 09/25/2019 |
First Posted: | 09/29/2019 |
Last Update Submitted: | 09/25/2019 |
Last Update Posted: | 09/29/2019 |
Actual Study Start Date: | 09/24/2019 |
Estimated Primary Completion Date: | 03/29/2022 |
Estimated Study Completion Date: | 07/29/2022 |
Condition or disease
Intervention/treatment
Device: T-tube
Phase
Arm Groups
Arm | Intervention/treatment |
---|---|
CBD exploration with T-tube repair of CBD after CBD exploration over T-tube | |
CBD exploration with primary repair primary repair of CBD after CBD exploration |
Eligibility Criteria
Sexes Eligible for Study | All |
Sampling method | Non-Probability Sample |
Accepts Healthy Volunteers | Yes |
Criteria | Inclusion Criteria: - Patients who will undergo common bile duct exploration Exclusion Criteria: - patients who has failed ERCP for management of common bile duct exploration - CBD diameter 2 cm or more |
Outcome
Primary Outcome Measures
1. bile leak from common bile duct [baseline]
Secondary Outcome Measures
1. hospital stay length [base line]