Unique ID issued by UMIN | UMIN000027169 |
---|---|
Receipt number | R000031101 |
Scientific Title | Prospective study evaluating the efficacy of a super-thin choledochoscope in the laparoscopic transcystic common bile duct exploration |
Date of disclosure of the study information | 2017/05/01 |
Last modified on | 2020/10/29 14:43:00 |
Prospective study evaluating the efficacy of a super-thin choledochoscope in the laparoscopic transcystic common bile duct exploration
Efficacy of a super-thin choledochoscope in laparoscopic common bile duct exploration
Prospective study evaluating the efficacy of a super-thin choledochoscope in the laparoscopic transcystic common bile duct exploration
Efficacy of a super-thin choledochoscope in laparoscopic common bile duct exploration
Japan |
Patients who are diagnosed, or suspected, as harboring common bile duct (CBD) stones and scheduled to undergo elective laparoscopic cholecystectomy
Hepato-biliary-pancreatic surgery |
Others
NO
The objectives of this study are as follows:
#1 To evaluate the feasibility of passing a super-thin choledochoscope into the CBD using a transcystic technique and establishing the area the scope can visualize.
#2 To compare the choledocholithiasis diagnostic accuracy using a super-thin choledochoscope with that of magnetic resonance cholangiopancreatography (MRCP) and intraoperative cholangiography (IOC).
#3 To confirm the safety and resuced invasiveness of the procedure.
The goal of our study is to assess the efficacy of transcystic CBD exploration, using a super-thin choledochoscope, for pre- and intra-operative diagnosis and in one-stage laparoscopic management of CBD stones
Efficacy
Exploratory
The primary outcomes are successful insertion of the super-thin choledochoscope into the common bile duct (CBD) via transcystic route and successful CBD exploration of both the distal (to the papilla) and proximal (to the bifurcation) parts of the bile duct.
To evaluate whether the choledochoscope contributes to improvement in the detection and one-stage clearance of CBD stones
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Device,equipment |
Laparoscopic transcystic common bile duct exploration using a super-thin choledochoscope
20 | years-old | <= |
Not applicable |
Male and Female
1 Patients diagnosed with CBD stones, confirmed or suspected as a result of clinical symptoms, serological tests, ultrasonography or MRCP, who are scheduled to undergo elective laparoscopic cholecystectomy (regardless of whether they underwent endoscopic sphincterotomy)
2 Patients older than 19 years of age at the time of surgery
3 Patients providing written informed consent
1 Large(9mm or more) or multiple (n=6 or more)CBD stones
2 Suspected primary CBD stones
3 Intrahepatic stones or biliary dilatation
4 Aberrant hepatic duct which joins the cystic duct or the bile duct close to the cystic duct
5 Anomalous arrangement of the pancreaticobiliary ducts
6 Suspected biliary malignancy
7 Allergic to radiopaque contrasts
8 Short cystic duct making the introduction of choledochoscope problematic
9 Acute cholecystitis
10 Presence of a biliary stent at the time of surgery
30
1st name | Shunichiro |
Middle name | |
Last name | Komatsu |
Aichi Medical University
Gastroenterological Surgery
480-1195
1-1 Yazakokarimata, Nagakute, Aichi Pref.
0561-62-3311
skomat@aichi-med-u.ac.jp
1st name | Shunichiro |
Middle name | |
Last name | Komatsu |
Aichi Medical University
Gastroenterological Surgery
480-1195
1-1 Yazakokarimata, Nagakute, Aichi Pref.
0561-62-3311
skomat@aichi-med-u.ac.jp
Aichi Medical University
Aichi Medical University
Self funding
Institutional review board of Aichi Medical University Hospital
1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan
0561-62-3311
amu_ethics@aichi-med-u.ac.jp
NO
2017 | Year | 05 | Month | 01 | Day |
Published
http://link.springer.com/article/10.1007/s00464-020-07779-y
38
Main results already published
2017 | Year | 04 | Month | 19 | Day |
2017 | Year | 04 | Month | 19 | Day |
2017 | Year | 05 | Month | 01 | Day |
2019 | Year | 12 | Month | 31 | Day |
2017 | Year | 04 | Month | 27 | Day |
2020 | Year | 10 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031101