Two Institutes Experience in Laparo-Endoscopic Rendezvous Technique for Gallbladder and Bile Duct Stones
Calculus; Gallbladder, With Cholecystitis
About this trial
This is an interventional other trial for Calculus; Gallbladder, With Cholecystitis
Eligibility Criteria
Inclusion Criteria: patients having stone in the gallbladder and concurrent CBD stone, as determined by MRCP or US. Patients with acute cholecystitis, acute cholangitis, obstructive jaundice, and those with highly suspicious criteria for CBD, stones such as dilated CBD on US examination more than7 mm in diameter without obvious CBD stones, high serum bilirubin level, and or high serum alkaline phosphatase level, were also included in this study. Exclusion Criteria: Patients with history of hepatobiliary surgery as choledocho-duodenal anastomosis. Patients with previous ERCP attempt. Patients with previous upper abdominal surgery as total or partial gastric resection. Patients with morbid obesity. Patients with uncorrectable coagulopathy. Patients aged below 18 years or above 80 years. Patients within the American Society of Anesthesiology (ASA) class 4 and 5 disease. Patients who refused to give consent or participate in the study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Active Comparator
Other
Laparo-endoscopic "rendezvous" technique
POES followed by LC
the first group was treated by a single-step procedure combining LC and IOES
the second (control) group was treated by 2-stage (sequential treatment) POES followed by LC.