Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06476054

Optimal Timing for Laparoscopic Cholecystectomy After Cholecystostomy in Acute Cholecystitis Tokyo II/III Setting

Led by Hospital Arnau de Vilanova · Updated on 2024-06-28

146

Participants Needed

1

Research Sites

182 weeks

Total Duration

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AI-Summary

What this Trial Is About

Percutaneous drainage in acute cholecystitis has been recommended by the recent update of the Tokyo Guidelines for patients with grade II and III disease who are unable to undergo surgical treatment due to their condition or associated comorbidities. There are no reports providing high-quality scientific evidence on the optimal timing for surgery after percutaneous transhepatic gallbladder drainage, so a consensus has not been reached. The grade III stage generates the most controversy; after percutaneous drainage, delaying the cholecystectomy can lead to new episodes of exacerbation during the waiting period or may limit the procedure to a specific group of patients with this pathology. The economic impact, including the number of readmissions, increased length of stay, and associated morbidity and mortality, generates controversy regarding the subsequent therapeutic decisions after the medical management of cholecystitis in this special group of patients.

CONDITIONS

Official Title

Optimal Timing for Laparoscopic Cholecystectomy After Cholecystostomy in Acute Cholecystitis Tokyo II/III Setting

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients over 18 years of age
  • Patients who are candidates for scheduled cholecystectomy surgery
  • Patients who agree to participate and sign the informed consent form
Not Eligible

You will not qualify if you...

  • Patients who, according to the principal investigator, cannot follow the treatment properly
  • Patients with health problems related to the procedure that delay or prevent treatment

AI-Screening

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Trial Site Locations

Total: 1 location

1

Hospital Universitari Arnau de Vilanova

Lleida, Spain, 25198

Actively Recruiting

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Research Team

F

Fulthon Frank Vela Polanco, Dr

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Optimal Timing for Laparoscopic Cholecystectomy After Cholecystostomy in Acute Cholecystitis Tokyo II/III Setting | DecenTrialz