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CompletedNCT07101315EDLC-ACUpdated Aug 3, 2025

Early Versus Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis

An interventional study of Laparoscopic Cholecystectomy in Acute Cholecystitis, sponsored by Sana'a University. Completed at 2 sites in Yemen. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-08-03.

Sponsored by Sana'a University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 6 months after the study started (first participant enrolled Jan 2022, registered Jul 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
81
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if performing gallbladder surgery early is as safe and effective as delaying it for people with acute cholecystitis (a sudden gallbladder infection). The main questions it aims to answer are:

  • Do participants who have early surgery have a similar rate of complications compared to those who have delayed surgery?
  • How does the timing of surgery affect the length of the hospital stay?

Researchers will compare two groups:

  1. An early surgery group
  2. A delayed surgery group

Participants in the early surgery group had their gallbladder removed within 72 hours of when their symptoms started. Participants in the delayed surgery group were first treated with medications and had their surgery 6-8 weeks later.

02

Conditions studied

  • Acute Cholecystitis

Keywords

  • Laparoscopic Cholecystectomy
  • Gallstones
  • Biliary Disease
  • Surgical Timing
03

In context

Cholecystitis, Acute

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

This study's enrollment of 81 is close to the median of 90 across 84 interventional studies indexed under Cholecystitis, Acute.

Browse Cholecystitis, Acute studies →

Lead sponsor

Sana'a University is the lead sponsor of 27 studies on the registry; 15 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 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

  • Yemeni nationals aged 18-70 years
  • A clinical diagnosis of acute cholecystitis confirmed by clinical presentation, laboratory findings, and imaging studies
  • Symptom duration of less than 72 hours at presentation
  • Fitness for general anesthesia ( [ASA] physical status classification I-III)
  • Provision of written

Exclusion criteria

Exclusion Criteria:

  • Evidence of choledocholithiasis or acute cholangitis
  • Severe comorbidities precluding surgery ( IV-V)
  • Coagulopathy ( >1.5 or count \<100,000/μL)
  • Pregnancy
  • Previous major upper abdominal surgery
  • Patient refusal to participate
Terms in these criteria, in plain language(4)

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.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
81 participants (actual)

Study arms

  • Experimental
    Early Laparoscopic Cholecystectomy (ELC)

    Participants underwent laparoscopic cholecystectomy within 72 hours of symptom onset during the index hospital admission.

    Procedure: Laparoscopic Cholecystectomy

  • Active comparator
    Delayed Laparoscopic Cholecystectomy (DLC)

    Participants received initial non-operative management with antibiotics and analgesics, followed by elective laparoscopic cholecystectomy 6-8 weeks later.

    Procedure: Laparoscopic Cholecystectomy

Interventions

  • ProcedureLaparoscopic Cholecystectomy

    Standard four-port laparoscopic cholecystectomy was performed by a specialist or resident surgeon.

06

What researchers measure

Primary outcomes

  1. Overall Postoperative Complications

    Incidence of any postoperative complication within 30 days

    Time frame: Within 30 days post-surgery

  2. Conversion to Open Surgery

    Rate of conversion from laparoscopic to open cholecystectomy during the procedure.

    Time frame: Intraoperative

  3. Operative Time

    Duration of surgery, measured in minutes from skin incision to skin closure.

    Time frame: Intraoperative

Secondary outcomes

  1. Postoperative Length of Hospital Stay

    Number of days from surgery to hospital discharge.

    Time frame: Up to 30 days post-surgery

  2. Duration of Postoperative Pain

    Number of days from surgery until the participant was free of the need for analgesic medication.

    Time frame: Up to 30 days post-surgery

  3. Time to Return to Normal Daily Activities

    Number of days from surgery until the participant reported a full return to normal daily activities.

    Time frame: Up to 30 days post-surgery

  4. 30-Day Readmission Rate

    Rate of unplanned hospital readmission for any cause within 30 days of discharge.

    Time frame: 30 days

07

Study locations

2 sites
  • Al-Kuwait University Hospital
    Sanaa, Yemen
  • Al-Thawra Modern General Hospital
    Sanaa, Yemen
08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual participant data that underlie the results reported in this article, after publication. This includes data for all primary and secondary outcome measures. The study protocol will not be shared.

Time frame: Data will be available beginning 3 months after article publication and the access period will remain open for 5 years.

Access criteria: Data will be made available to qualified researchers for meta-analysis or other secondary analyses consistent with the original aims of the study. Researchers must submit a methodologically sound proposal to the corresponding author at h.jowah@su.edu.ye. A signed data access agreement will be required prior to the release of any data.

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 2022 to primary completion in Dec 2023, 23 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 23 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 27, 2025
First posted
Aug 3, 2025
StartActual
Jan 1, 2022
Primary completionActual
Dec 30, 2023
CompletionActual
Dec 30, 2023
Last update
Aug 3, 2025
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 Aug 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07101315
Lead sponsor
Sana'a University
Collaborators
Al-Thawra Modern General Hospital, Al-Kuwait University Hospital
Responsible party
Haitham Mohammed Jowah (Lecturer, Sana'a University) — Principal investigator
First posted
Aug 3, 2025
Start date
Jan 1, 2022
Primary completion
Dec 30, 2023
Completion
Dec 30, 2023
Last update
Aug 3, 2025

Study contacts

Mohammed A Issa, Professor
principal investigator · Sana'a University

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 2025. You cannot join it, but the record below documents what was studied.

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