Suture Ligation Versus Clipping of Cystic Duct and Artery During Laparoscopic Cholecystectomy
NCT ID: NCT05555810
Last Updated: 2022-09-27
Study Results
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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UNKNOWN
NA
50 participants
INTERVENTIONAL
2023-06-01
2023-12-30
Brief Summary
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Detailed Description
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Once laparoscopic cholecystectomy emerged controversies persist with regard to the best method to ligate the cystic duct and artery. They may be ligated by separate and multiple ligatures by absorbable suture material, or using absorbable clips.
Suture ligation of cystic duct appeared to be more cost effective.On the other hand, the application of clips shown to have some drawbacks such as dislodgement and bile leakage and increase liability of long term clip migration which resulted in biliary stone formation or bile duct stenosis and also they are expensive .Another complication of clips that they may ulcerated through the duodenum.
Ligation takes more time than applying a clip, and it needs well training, but it is feasible, cost- effective and safe alternative method to secure cystic duct and artery in laparoscopic cholecystectomy.
The Aim of this study is to compare the two different methods; Tie versus clipping, for securing cystic duct and artery in laparoscopic cholecystectomy. In terms of efficacy and safety, and also the difference in the times of operations in both methods
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Suture ligation of cystic duct and artery
The investigators will ligate cystic duct and artery by traditional sutures during laparoscopic cholecystectomy .
clipping or ligation of the cystic duct and the cystic artery in Laparoscopic cholecystectomy
The investigators will make a comparison between clipping and ligation of cystic duct and cystic artery during Laparoscopic cholecystectomy and trying to know advantages and disadvantages of each technique .
Application of clips
The investigators will put a clips on the cystic duct and artery during laparoscopic cholecystectomy.
clipping or ligation of the cystic duct and the cystic artery in Laparoscopic cholecystectomy
The investigators will make a comparison between clipping and ligation of cystic duct and cystic artery during Laparoscopic cholecystectomy and trying to know advantages and disadvantages of each technique .
Interventions
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clipping or ligation of the cystic duct and the cystic artery in Laparoscopic cholecystectomy
The investigators will make a comparison between clipping and ligation of cystic duct and cystic artery during Laparoscopic cholecystectomy and trying to know advantages and disadvantages of each technique .
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Mohamed Gamal Sayed
principal investigator
Principal Investigators
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Mohamed Korany, PHD
Role: STUDY_DIRECTOR
Assut University
Central Contacts
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References
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van Dijk AH, van Roessel S, de Reuver PR, Boerma D, Boermeester MA, Donkervoort SC. Systematic review of cystic duct closure techniques in relation to prevention of bile duct leakage after laparoscopic cholecystectomy. World J Gastrointest Surg. 2018 Sep 27;10(6):57-69. doi: 10.4240/wjgs.v10.i6.57.
Singal R, Sharma A, Zaman M. The Safety and Efficacy of Clipless versus Conventional Laparoscopic Cholecystectomy - our Experience in an Indian Rural Center. Maedica (Bucur). 2018 Mar;13(1):34-43.
Other Identifiers
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lclc
Identifier Type: -
Identifier Source: org_study_id
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