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CBD Repair Over T-tube or Primary Repair

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Assiut University

关键词

抽象

the aim is to assess the benefits and harms of T-tube drainage versus primary closure without biliary stent after exploration common bile duct stones

描述

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.

日期

最后验证: 08/31/2019
首次提交: 09/24/2019
提交的预估入学人数: 09/25/2019
首次发布: 09/29/2019
上次提交的更新: 09/25/2019
最近更新发布: 09/29/2019
实际学习开始日期: 09/24/2019
预计主要完成日期: 03/29/2022
预计完成日期: 07/29/2022

状况或疾病

CBD Exploration

干预/治疗

Device: T-tube

-

手臂组

干预/治疗
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

资格标准

有资格学习的性别All
取样方式Non-Probability Sample
接受健康志愿者
标准

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

结果

主要结果指标

1. bile leak from common bile duct [baseline]

Assessment which type of repair (with T-tube or primary repair) bile leak will occurs more

次要成果指标

1. hospital stay length [base line]

Assessment which type of repair (with T-tube or primary repair) patient will stay in the hospital more after CBD exploration

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