Fibrin Sealant for Cholangiotomy Closure Study

NCT ID: NCT02545153

Last Updated: 2015-09-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2016-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Bile leak reduction from the common bile duct, as a result of glue appliance after cholangiotomy.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Laparoscopic common bile duct exploration is a way of dealing with common bile duct stones that has gained increasing acceptance. Following a cholangiotomy there is, however, the risk of bile leakage from the incision.

A way of avoiding leakage following cholangiotomy may be to apply fibrin sealant on the cholangiotomy.

The present study is based on patients undergoing laparoscopic cholecystectomy at the department of surgery, Enköping hospital, Sweden. The patients are informed about the study prior to the procedure. Cholangiography is performed routinely. In case common bile duct stones are encountered on the cholangiography, an incision is made in the common bile duct and the stones are extracted. After the stone extraction, a t tube is introduced into the cholangiotomy and the incision is closed with running Vicryl sutures.

When the cholangiotomy has been closed, the randomisation is performed with a sealed envelope system. If the patient is randomised to fibrin sealant, this is applied on the cholangiotomy. A passive drain is introduced before the abdomen is closed.

Postoperatively, the amount of bile in the passive drain is measured by an observer randomised to the allocation.

If the amount of bile in the drain does not exceed 100 ml three days postoperatively, a secondary cholangiography is performed through the t tube. If the contrast passes to the duodenum and no contrast leakage is seen, the t tube is withdrawn.

All postoperative complications are registered according to the Clavien-Dindo system.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Common Bile Duct Gall Stones Infection Bile Leak

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Fibrin sealant

Tisseel, Baxter (Aprotinin and Fibrinogen)

Group Type ACTIVE_COMPARATOR

Tisseel, Baxter (Aprotinin and Fibrinogen)

Intervention Type DRUG

After introducton of t tube and closure of the incision with running sutures, fibrin sealant is applied on the incision.

Control

Suturing the incision without fibrin glue

Group Type PLACEBO_COMPARATOR

Control

Intervention Type DRUG

No fibrin sealant applied

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Tisseel, Baxter (Aprotinin and Fibrinogen)

After introducton of t tube and closure of the incision with running sutures, fibrin sealant is applied on the incision.

Intervention Type DRUG

Control

No fibrin sealant applied

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Closing the incision with fibrin sealant Closing the incision without fibrin sealant

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Gallbladder disease

Exclusion Criteria

* Cancer/Tumor
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Lasarettet i Enköping

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

BAHMAN DARKAHI

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Gabriel Sandblom, Assoc Prof

Role: PRINCIPAL_INVESTIGATOR

Karolinska Institutet

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Lasarettet i Enkoping

Enköping, Uppsala County, Sweden

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Sweden

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Bahman Darkahi Darkahi, MD

Role: CONTACT

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Bahman Darkahi, MD

Role: primary

References

Explore related publications, articles, or registry entries linked to this study.

Darkahi B, Norden T, Sandblom G. Fibrin Sealant for Prevention of Bile Leakage After Laparoscopic Common Bile Duct Incision: Outcome of a Randomized Controlled Trial. J Laparoendosc Adv Surg Tech A. 2022 Feb;32(2):171-175. doi: 10.1089/lap.2020.0404. Epub 2021 Jun 14.

Reference Type DERIVED
PMID: 34129409 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

glue 55 galla

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Gallbladder Stenting in FC-SEMS
NCT06820541 NOT_YET_RECRUITING NA
Diclofenac for Prevention of Post-ERC Pancreatitis
NCT03595150 NOT_YET_RECRUITING PHASE2/PHASE3
Bile Leak After Liver Surgery
NCT02056028 COMPLETED