Treatment of Common Bile Duct Stones

NCT ID: NCT03442205

Last Updated: 2018-03-01

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

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-01

Study Completion Date

2021-03-01

Brief Summary

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ABSTRACT Introduction: Common bile duct (CBD) stone is a common clinical situation, especially in Asia area. Laparotomy and laparoscopic surgical procedure are often used for treatment. This study compares outcomes of different surgical procedures treating for the disease.

Methods/design: This is a prospective, randomized, controlled multicenter trial with three treatment arms. One group underwent laparoscopic cholecystectomy (LC) + laparoscopic CBD exploration (LCBDE) + intraoperative endoscopic nasobiliary drainage ENBD + primary closure of CBD. The other underwent preoperative endoscopic retrograde cholangiopancreatography (ERCP) and subsequent LC and the third arm underwent laparoscopic cholecystectomy (LC) + laparoscopic CBD exploration (LCBDE) + primary closure of CBD. The duration of the entire trial is two years including prearrangement, follow-up and analyses.

Discussion: Despite the fact plenty evidences provided by meta-analyses suggests that these approaches would appear comparable. It is hopeful to fully address which would be the better approach with this RCT design.

Detailed Description

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Conditions

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Common Bile Duct Stone

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Group A

Group Type EXPERIMENTAL

LC + LCBDE + ENBD + primary closure of CBD

Intervention Type PROCEDURE

LC + LCBDE + ENBD + primary closure of CBD

Group B

Group Type EXPERIMENTAL

ERCP technique + LC

Intervention Type PROCEDURE

ERCP technique + LC

Group C

Group Type EXPERIMENTAL

LC + LCBDE + primary closure of CBD

Intervention Type PROCEDURE

LC + LCBDE + primary closure of CBD

Interventions

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LC + LCBDE + ENBD + primary closure of CBD

LC + LCBDE + ENBD + primary closure of CBD

Intervention Type PROCEDURE

ERCP technique + LC

ERCP technique + LC

Intervention Type PROCEDURE

LC + LCBDE + primary closure of CBD

LC + LCBDE + primary closure of CBD

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with age between 18 - 80 years.
* Patients diagnosed with gallstones.
* Patients diagnosed with common bile duct stone by one of the three exam (US、MRCP and CT).
* Patients diagnosed with common bile duct stone by intro-operative cholangiography or transcystic exploration.
* Patients understood the trial and accepted one of the three managements.

Exclusion Criteria

* Combined with Mirizzi syndrome and intrahepatic bile duct stones
* Previous EST/endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic biliary drainage (PTBD)
* History of upper abdominal surgery.
* Serious heart, brain, lung, metabolic diseases history.
* Pregnant women.
* Unwillingness or inability to consent for the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tongji Hospital

OTHER

Sponsor Role lead

Responsible Party

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Renyi Qin

Clinical professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Renyi Qin, pHD

Role: STUDY_CHAIR

Tongji Hospital

Locations

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Tongji Hospital

Wuhan, Hubei, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Hang Zhang, doctor

Role: CONTACT

+8602783665314

Facility Contacts

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Renyi Qin, pHD

Role: primary

+8602783665314

Other Identifiers

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TJDBPS03

Identifier Type: -

Identifier Source: org_study_id

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