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

Recruiting now · Not applicable

Conditions studied: Cholecystitis, Acute

In brief

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.

Key facts

Study ID

NCT06476054

Run by

Hospital Arnau de Vilanova

People needed

146

Starts

2024-02-01

Expected to finish

2027-08-01

Last updated by the study team

2024-06-28

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• patients over 18 years of age
• patients candidates for cholecystectomy, in scheduled surgery
• patients who accept participation and sign informed consent form

You may not qualify if…

• According to the principal investigator criteria, for reasons that make it impossible to correctly follow the treatment.
• Presence of morbidity associated with the procedure that delays or makes treatment impossible.

Where it is running

• Hospital Universitari Arnau de Vilanova — Lleida, Spain (enrolling)

Full record on ClinicalTrials.gov

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