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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00124033
Registration number
NCT00124033
Ethics application status
Date submitted
25/07/2005
Date registered
26/07/2005
Date last updated
11/09/2006
Titles & IDs
Public title
Management of Common Bile Duct (CBD) Stones at Laparoscopic Cholecystectomy
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Scientific title
Management of CBD Stones at Laparoscopic Cholecystectomy: A NSW Collaborative Prospective Randomised Trial to Assess the Value of Transcystically Inserted CBD Stents to Facilitate Post-Operative ERCP
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Secondary ID [1]
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04/001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Choledocholithiasis
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Cholelithiasis
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety of facilitated ERCP compared to conventional unfacilitated ERCP - as assessed by the incidence of pancreatitis post ERCP
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [1]
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The success rate and morbidity of transcystic exploration for common bile duct stone removal across a broad spectrum of surgeons
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [2]
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The success rate of transcystic stent placement across a broad spectrum of surgeons
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Assessment method [2]
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Timepoint [2]
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Secondary outcome [3]
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The overall morbidity of post-operative ERCP, with further comparisons of the morbidity of facilitated and conventional ERCP, with and without transcystic exploration of the common bile duct to remove stones
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Assessment method [3]
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Timepoint [3]
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Secondary outcome [4]
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Hospitalisation time according to treatment group
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Assessment method [4]
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Timepoint [4]
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Secondary outcome [5]
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The incidence of hyperamylasemia after transcystic exploration of the common bile duct, transcystic insertion of a stent or transcystic cholangiography alone
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Assessment method [5]
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Timepoint [5]
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Secondary outcome [6]
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The success rate and complications after choledochotomy for common bile duct stones
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Assessment method [6]
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Timepoint [6]
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Secondary outcome [7]
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The failure rate of selective common bile duct cannulation for facilitated ERCP as compared to conventional ERCP
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Assessment method [7]
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Timepoint [7]
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Secondary outcome [8]
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Incidence of multiple endoscopic procedures when the common bile duct was not explored at the primary operation and whether or not this is affected by facilitation at ERCP
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Assessment method [8]
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Timepoint [8]
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Secondary outcome [9]
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Long-term efficacy of techniques used to remove common bile duct stones, as measured by the recurrence of stones in the bile duct
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Assessment method [9]
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Timepoint [9]
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Eligibility
Key inclusion criteria
* The patient must be able to give informed consent preoperatively (i.e. elective procedures only)
* Patients at higher than normal risk of having CBD stones identified at OC. For example: *CBD stones identified at ultrasound; *Wide CBD (>6mm) at ultrasound; *Previous, recent, current cholangitis, jaundice, or biliary pancreatitis; or *Abnormal AST and ALT levels (>2 times normal).
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Minimum age
18
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Pregnancy at time of surgery
* Patients not fit for surgery. For example: *Those with acute cholecystitis or persistent obstructive jaundice; *Patients who have had a previous ERCP and sphincterotomy; or *Patients in whom intervention was not technically possible (eg. previous Billroth II gastrectomy).
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Study design
Purpose of the study
Educational/counselling/training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2004
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Bankstown-Lidcombe Hospital - Bankstown
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Recruitment hospital [2]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [3]
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Dubbo Base Hospital - Dubbo
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Recruitment hospital [4]
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Gosford Hospital - Gosford
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Recruitment hospital [5]
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Blue Mountains District ANZAC Memorial Hospital - Katoomba
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Recruitment hospital [6]
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Nepean Hospital - Kingswood
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Recruitment hospital [7]
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St George Hospital - Kogarah
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Recruitment hospital [8]
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Liverpool Hospital - Liverpool
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Recruitment hospital [9]
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John Hunter Hospital - New Lambton
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Recruitment hospital [10]
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Prince of Wales Hospital - Randwick
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Recruitment hospital [11]
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Royal North Shore Hospital - St Leonards
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Recruitment hospital [12]
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Westmead Hospital - Westmead
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Recruitment hospital [13]
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Hawkesbury District Health Service - Windsor
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Recruitment postcode(s) [1]
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2200 - Bankstown
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Recruitment postcode(s) [2]
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2050 - Camperdown
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Recruitment postcode(s) [3]
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2830 - Dubbo
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Recruitment postcode(s) [4]
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2250 - Gosford
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Recruitment postcode(s) [5]
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2780 - Katoomba
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Recruitment postcode(s) [6]
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2747 - Kingswood
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Recruitment postcode(s) [7]
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2217 - Kogarah
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Recruitment postcode(s) [8]
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2170 - Liverpool
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Recruitment postcode(s) [9]
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2300 - New Lambton
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Recruitment postcode(s) [10]
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2031 - Randwick
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Recruitment postcode(s) [11]
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2065 - St Leonards
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Recruitment postcode(s) [12]
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2145 - Westmead
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Recruitment postcode(s) [13]
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2756 - Windsor
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Funding & Sponsors
Primary sponsor type
Other
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Name
South West Sydney Local Health District
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Catholic Health Care Services
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Greater Western Area Health Service
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Hunter New England Area Health Service
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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Northern Sydney and Central Coast Area Health Service
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Address [4]
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Country [4]
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Other collaborator category [5]
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Other
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Name [5]
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South Eastern Area Health Service
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Address [5]
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Country [5]
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Other collaborator category [6]
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Government body
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Name [6]
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Sydney South West Area Health Service
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Address [6]
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Country [6]
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is designed to assess whether a new technique called facilitated endoscopic retrograde cholangiopancreatography (ERCP) is or is not superior to conventional ERCP for removing stones found in the bile duct at the time of laparoscopic cholecystectomy. ERCP is an endoscopic procedure used to facilitate the radiological examination and subsequent manipulation of the common bile duct (eg. opening it up, which is called sphincterotomy). Both facilitated and conventional ERCP are performed as a separate procedure after the initial gallbladder surgery. This is a comparative study of these two techniques in a randomised clinical trial. The aim of this randomised clinical trial is to enable surgeons to decide whether placement of a plastic stent at the time of laparoscopic cholecystectomy will improve the success rate and safety of subsequent ERCP and sphincterotomy.
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Trial website
https://clinicaltrials.gov/study/NCT00124033
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Trial related presentations / publications
Martin CJ, Cox MR, Vaccaro L. Laparoscopic transcystic bile duct stenting in the management of common bile duct stones. ANZ J Surg. 2002 Apr;72(4):258-64. doi: 10.1046/j.1445-2197.2002.02368.x.
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Public notes
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Contacts
Principal investigator
Name
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Christopher J Martin, MBBS MSc
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Address
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Sydney West Area Health Service (Department of Surgery, Nepean Hospital)
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00124033
Download to PDF