CBD Repair Over T-tube or Primary Repair
关键词
抽象
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
干预/治疗
Device: T-tube
相
手臂组
臂 | 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 | 是 |
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]
次要成果指标
1. hospital stay length [base line]