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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03477253
Other study ID # LC in management of ACC
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date October 1, 2017
Est. completion date April 1, 2020

Study information

Verified date April 2021
Source Assiut University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study was aimed to assess the outcome of laparoscopic cholecystectomy in acute calculous cholecystitis in terms of conversion rates, postoperative complications and length of hospital stay within and after 3 days of symptoms onset.


Description:

The study aims to evaluate the safety and competency of laparoscopic cholecystectomy as surgical management of acute calculous cholecystitis within and after 72h of symptom onset. This study included 62 patients with acute calculous cholecystitis. Patients are divided into 2 study groups by the time of laparoscopic cholecystectomy comparing to the onset of symptoms and categorized as Group A & B. Immediate laparoscopic cholecystectomy is performed in Group A. while late laparoscopic cholecystectomy is performed in Group B. Patients in both groups monitored since admission, during operations, and along the postoperative period.


Recruitment information / eligibility

Status Completed
Enrollment 62
Est. completion date April 1, 2020
Est. primary completion date January 1, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years to 70 Years
Eligibility Inclusion Criteria: 1. Abdominal pain characteristic of Acute Cholecystitis, Positive Murphy's sign, Total Leucocyte Count > 10,000/ uL, and (4) Ultra-sonographic evidence of Acute Calculous Cholecystitis. 2. Initial surgical management planned for immediate laparoscopic cholecystectomy. 3. Patients who are fit for laparoscopy and general anesthesia. 4. Patient who agree to provide short term outcome data and agree to provide contact information. Exclusion Criteria: 1. Patients with ultra-sonographic findings of common bile duct calculi, pancreatitis, gall bladder perforation, gall bladder gangrene or gall bladder abscess. 2. Patients with other associated abdominal pathology. 3. Patients with any previous abdominal surgery or any significant systemic disease. 4. Septic shock. 5. Pregnancy/ Breast-feeding mothers. 6. Participation in an additional drug or device study and inability to offer informed consent.

Study Design


Intervention

Procedure:
Laparoscopic cholecystectomy
The use of laparoscopic cholecystectomy in management of acute calculous cholecysitits

Locations

Country Name City State
Egypt Assiut University Assiut

Sponsors (1)

Lead Sponsor Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

References & Publications (6)

Bagla P, Sarria JC, Riall TS. Management of acute cholecystitis. Curr Opin Infect Dis. 2016 Oct;29(5):508-13. doi: 10.1097/QCO.0000000000000297. Review. — View Citation

Dudchenko MO, Kravtsiv MI, Lyulka MO, Lyakhovsky VI, Furman DD, Bondar LD. [TREATMENT OF ACUTE CALCULOUS CHOLECYSTITIS: "EARLY" OR "PLANNED" LAPAROSCOPIC CHOLECYSTECTMIVY]. Klin Khir. 2015 Jun;(6):19-21. Ukrainian. — View Citation

Gomes CA, Junior CS, Di Saverio S, Sartelli M, Kelly MD, Gomes CC, Gomes FC, Corrêa LD, Alves CB, Guimarães SF. Acute calculous cholecystitis: Review of current best practices. World J Gastrointest Surg. 2017 May 27;9(5):118-126. doi: 10.4240/wjgs.v9.i5.118. Review. Erratum in: World J Gastrointest Surg. 2017 Oct 27;9(10 ):214. — View Citation

Polo M, Duclos A, Polazzi S, Payet C, Lifante JC, Cotte E, Barth X, Glehen O, Passot G. Acute Cholecystitis-Optimal Timing for Early Cholecystectomy: a French Nationwide Study. J Gastrointest Surg. 2015 Nov;19(11):2003-10. doi: 10.1007/s11605-015-2909-x. Epub 2015 Aug 12. — View Citation

Terho PM, Leppäniemi AK, Mentula PJ. Laparoscopic cholecystectomy for acute calculous cholecystitis: a retrospective study assessing risk factors for conversion and complications. World J Emerg Surg. 2016 Nov 16;11:54. eCollection 2016. — View Citation

Yuval JB, Mizrahi I, Mazeh H, Weiss DJ, Almogy G, Bala M, Kuchuk E, Siam B, Simanovsky N, Eid A, Pikarsky AJ. Delayed Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis: Is it Time for a Change? World J Surg. 2017 Jul;41(7):1762-1768. doi: 10.1007/s00268-017-3928-4. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Comparison between early and late laparoscopic cholecystectomy regarding Operation time comparing the needed intra-operative time for laparoscopic cholecystectomy within and after 3 days of the onset of acute calcular cholecystitis , time will be measured by minutes intra-operative
Primary Comparison between early and late laparoscopic cholecystectomy regarding difficulty of operation comparing the difficulty of laparoscopic cholecystectomy within and after 3 days of the onset of acute calculous cholecystitis, difficulty will be assessed by the rate of conversion to open cholecystectomy intra-operative
Primary comparison between early and late laparoscopic cholecystectomy regarding post operative pain comparing between laparoscopic cholecystectomy within and after 3 days of the onset of acute cholecystitis regarding the presence and duration of post operative pain , pain will be measured by either the pain responded to regular NSAIDs or needed the administration of narcotics within 1month post operative
Primary Duration of postoperative hospital stay comparing post-operative duration of hospital stay after laparoscopic cholecystectomy within and after 3 days of the onset of acute calcular cholecystitis ,duration will be measured by post operative days spent in the hospital within 2 weeks post-operative
Secondary comparison between early and late laparoscopic cholecystectomy regarding post operative bile leakage compare between laparoscopic cholecystectomy within and after 3 days of the onset of acute cholecystitis regarding the presence and amount of bile leakage first 72 hours post-operative
Secondary comparison between early and late laparoscopic cholecystectomy regarding post operative bleeding compare between laparoscopic cholecystectomy within and after 3 days of the onset of acute cholecystitis regarding the presence and amount of postoperative bleeding 7 days postoperative
Secondary presence of any wound complication by examining the wound comparison between early and late laparoscopic cholecystectomy concerning the presence and rate of wound infection by clinical examination post-operative within 10 days post-operative
See also
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Completed NCT05135299 - Complications in Acute Calculous Cholecystitis
Completed NCT01894321 - The Clinical Outcomes of the Percutaneous Cholecystostomy, Supportive Care Versus Cholecystectomy. N/A
Completed NCT05125653 - Indocyanine Green Fluorescent Cholangiography and Intraoperative Angiography With Laparoscopic Cholecystectomy N/A
Not yet recruiting NCT05484232 - Outcomes of Early Laparoscopic Cholecystectomy in Cases of Acute Cholecystitis N/A