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Postcholecystectomy Syndrome clinical trials

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NCT ID: NCT05243225 Not yet recruiting - Bile Duct Injury Clinical Trials

Laparoscopic Versus Open Surgical Management of Post Cholecystectomy Bile Duct Injury

Start date: June 2023
Phase:
Study type: Observational [Patient Registry]

Comparison between laparoscopic and open surgical management of post cholecystectomy bile duct injury.

NCT ID: NCT04134546 Not yet recruiting - Biliary Fistula Clinical Trials

Early Versus Late Intervention After Biliary Tract Injury Post Cholecystectomy

Start date: October 30, 2019
Phase: N/A
Study type: Interventional

Bile duct injury following cholecystectomy is an iatrogenic catastrophe associated with significant peri operative morbidity and mortality(1, 2) reduced long term survival(3) and quality of life(4, 5) and high rates of subsequent litigation6. It should be regarded as preventable. The advent of laparoscopic cholecystectomy has resulted in a resurgence of interest in bile duct injury and its subsequent management. Population based studies(6.7) suggest a significant increase in the incidence of injury (0•1 to 0•5 per cent) following the implementation of the laparoscopic approach(8) Bile duct injury should be regarded as preventable, but over 70 per cent of surgeons regard it as unavoidable(9). Although most injuries occur within the surgeon's first 100 laparoscopic cholecystectomies, one third happen after the surgeon has performed more than 200; it is more than inexperience that leads to bile duct injury(10). It has been suggested that the commonest cause of common bile duct injury is misidentification of biliary anatomy (70-80 per cent of injuries)(11,12),a reduction in risk if surgeons perform routine intraoperative cholangiography Recognition of bile duct injury at the time of cholecystectomy allows an opportunity for the hepatobiliary surgeon to assess its severity and the presence of any vascular injury