ClinicalTrials.gg
CompletedNCT04979936PCUpdated Jul 28, 2021

Early Laparoscopic Cholecystectomy Versus Percutaneous Cholecystostomy in Grade II Acute Cholecystitis Guidelines

An interventional study of laparoscopic cholecystectomy and percutaneous cholecystostomy in Acute Cholecystitis and Empyema, Gallbladder, sponsored by Alexandria University. Completed at 2 sites in Egypt. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2021-07-28.

Sponsored by Alexandria University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 5 years 6 months after the study started (first participant enrolled Jan 2016, registered Jul 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
220
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies in Cholecystitis, Acute with a site in Egypt — none open to participants now, none under way, none of them phase 3. Cholecystitis, Acute · Egypt.

Enrollment
4th of 10
220 · median 147
Started
2016
the only one that year
No phase
9 of 10
none open now
Registered
5th of 10
by date
Lead sponsor
1 of 10
Alexandria University

Among the 10 studies in Cholecystitis, Acute with a site in Egypt, this one is the 4th largest by enrollment, is the only one that started in 2016, is one of 9 with no phase, and was the 5th registered.

Cholecystitis, Acute

140 studies on the registry are indexed under Cholecystitis, Acute; 30 are open to participants now.

Browse Cholecystitis, Acute studies →

Open to participants now

None of the 10 studies in Cholecystitis, Acute with a site in Egypt is open now.

Who these studies take

Of the 20 Cholecystitis, Acute studies recruiting now, 16 (80%) set no upper age limit and 2 (10%) stop at 75 or younger; 2 take children under 18; 0 take healthy volunteers.

This study: 18 Years to 90 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Download CSVNarrow it in search →With an account: the 10 studies in Cholecystitis, Acute with a site in Egypt as a file.
02

Study summary

The aim of this study is to compare between early laparoscopic cholecystectomy versus percutaneous cholecystostomy followed by delayed interval laparoscopic cholecystectomy as regards the operative and postoperative complications

Read the detailed description

A-Study setting: Department of Surgery, main university hospital, Faculty of Medicine, Alexandria University, Egypt. The study was approved by the Ethics Committee of our institution.

B-Study design: Retrospective clinical trial C-Study subjects: The target population are patients with preoperative diagnosis of grade II acute cholecystitis Those patients were subjected to surgery either early laparoscopic cholecystectomy or delayed laparoscopic cholecystectomy after percutaneous cholecystostomy

Inclusion criteria of the study patients:

-Specific written informed consent approved by our Institution's Ethics Committee was obtained from all the treated patients.

Exclusion criteria:

-contraindication to laparoscopy,Refusal of study participation, cirrhosis, grade I or III acute cholecystitis D-Sample size calculation: a minimum sample size required per group is 88 to detect decline in the proportion of the primary outcome from 20% to 5%, at 5% level of significance and 80% power.

E-Sampling technique: By using eligibility criteria, 220 patients that were planned to undergo laparoscopic Cholecystectomy were randomly selected from the surgery department in main university hospital, Faculty of Medicine, Alexandria University. They were randomly separated into two groups:

An experiment group: (90 patients) underwent percutaneous cholecystostomy followed by delayed interval laparoscopic cholecystectomy A control group: (130 patients) underwent early laparoscopic cholecystectomy. All the participants were initially evaluated and re-evaluated during follow up period of 30 days for the outcome measures. Non blinded trial was done due to difficulty in using blinding in operative intervention.

Methods: every patient in the study sample was subjected to the followings:

  1. History
  2. Examination:
  3. Investigations ( pre and postoperative):

    Laboratory: WBC, CRP, lever functions Radiologic imaging: ultrasonography, CT abdomen

  4. Intervention: An experiment group: underwent percutaneous cholecystostomy followed by delayed interval laparoscopic cholecystectomy.

    A control group: underwent early laparoscopic cholecystectomy.

    Surgical Technique: laparoscopic cholecysctomy Postoperative Course: post-operative complications

  5. Outcome Measurement and Follow-Up

    • Follow up period: both groups were re-evaluated at 1, 2, 6 months. They were evaluated for the positive and negative outcome measures. There were no cases lost to follow up.
    • Outcome measures that were assessed after the follow up period were:
    • Primary outcome measures: operative and postoperative complications as conversion, biliary injury, bowel injury, they were assessed by clavien dindo classification
    • Secondary Outcome measures: ASA score, Tokyo score and some investigations.

Statistical analysis Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS) version 20 software (SPSS, Inc., Chicago, IL, USA). Quantitative variables were summarized using mean and standard deviation after data exploration using the Kolmogorov- Smirnov test. Qualitative variables were described using number and percent. Associations between the two groups and other categorical variables were assessed using Chi-square test (Fisher or Monte Carlo). Comparisons between the two groups as regards the quantitative variables were assessed using Student t-test. All Statistical tests were done at 5% level of Significance.

Risk estimates were calculated as Relative risk, Absolute risk reduction, Number needed to treat and population Attributable Risk percentage to detect the risk of development of the intraoperative and postoperative complications in the intervention and control group.

03

Conditions studied

  • Acute Cholecystitis
  • Empyema, Gallbladder

Keywords

  • moderate acute cholecystitis, percutaneous cholecystostomy
04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • patients with one of the criteria stated by grade II (moderate) Tokyo guidelines for acute cholecystitis who were managed either by early LC or by a bridging PC followed by delayed LC.

Exclusion criteria

Exclusion Criteria:

  • grade I or III acute cholecystitis
  • common bile duct stones or jaundice,
  • Liver cirrhosis,
  • severe upper abdominal adhesions,
  • acalculous cholecystitis
  • major comorbidities in which laparoscopic surgery is .
  • those who followed a conservative treatment for acute cholecystitis
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
220 participants (actual)

Study arms

  • Active comparator
    early laparoscopic cholecystectomy

    early laparoscopic cholecystectomy

    Procedure: laparoscopic cholecystectomy

  • Active comparator
    percutaneous cholecystostomy

    percutaneous cholecystostomy first followed by delayed laparoscopic cholecystectomy

    Procedure: percutaneous cholecystostomy

Interventions

  • Procedurelaparoscopic cholecystectomy
  • Procedurepercutaneous cholecystostomy
06

What researchers measure

Primary outcomes

  1. operative difficulties as conversion, operative time, biliary injury

    as assessed by the main surgeon

    Time frame: at the time of cholecysctomy

  2. postoperative complications

    as assessed by clavien dindo classification

    Time frame: 30 days after the operation

07

Study locations

2 sites
  • Alexandria university
    Alexandria, Egypt
  • Faculty of Medicine
    Alexandria, Egypt
08

References and documents

Individual participant data

Plan to share: No — data extracted from the hospital records. it is difficult to bring these data into public

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2016 to primary completion in Jan 2021, 60 months.

Of 42 non-industry interventional studies with no phase under Cholecystitis, Acute, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 24. This study's 60 months is above that.

Counting every sponsor, half of 45 studies reached it within 20 months; a quarter within 9 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 17, 2021
First posted
Jul 28, 2021
StartActual
Jan 1, 2016
Primary completionActual
Jan 31, 2021
CompletionActual
Jan 31, 2021
Last update
Jul 28, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 28, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04979936
Responsible party
Sponsor
First posted
Jul 28, 2021
Start date
Jan 1, 2016
Primary completion
Jan 31, 2021
Completion
Jan 31, 2021
Last update
Jul 28, 2021

Study contacts

HANY MK EL-HADDAD, professor
principal investigator · alexandria university, faculty of medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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