RCT on Robotic vs. Endo-laparoscopic Approach for Difficult Choledocholithiasis
Choledocholithiasis
About this trial
This is an interventional treatment trial for Choledocholithiasis focused on measuring Difficult, Choledocholithiasis, Robotic, Endo-laparoscopic, Randomized, Trial
Eligibility Criteria
Inclusion Criteria: Definitions of difficult CBD stone: stone size > 1.5cm, and/or multiple stones > 3, and/or narrow and angled distal common bile duct (CBD) (< 1350) Diagnostic ERCP with successful CBD deep cannulation and temporarily CBD stenting No history of cholecystectomy General condition fit for GA Exclusion Criteria: History of recurrent pyogenic cholangitis Failed endoscopic biliary stenting by initial ERCP Complications of ERCP (severe necrotizing pancreatitis, papillotomy bleeding or bowel perforation) Previous upper abdominal surgery, including gastrectomy General condition unfit for GA
Sites / Locations
- Chinese University of Hong KongRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Robotic group
Endo-laparoscopic group
One-stage robotic common bile duct exploration and cholecystectomy
Two stage therapeutic endoscopic retrograde cholangiopancreatography (ERCP) with interval laparoscopic cholecystectomy