Transcystic Versus Transanastomotic Tube Drainage in Right Lobe LDLT
Study Details
Study Description
Brief Summary
To evaluate the safety and effectiveness of the use of transcystic biliary drainage tube (not transanastomotic) in comparison to the usual transanastomotic biliary drainage tube.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
a biliary drainage tube is usually inserted into the biliary passage after choledocho-choledochostomy (bile duct to bile duct joining).
A 4F or 5F biliary catheter (Marquat Genie biomedical, france) is used in all cases.
the study is to compare the effectiveness and safety of 2 different placement techniques:
-
the usual trans-anastomotic position (the tube is placed across the anastomosis line with the tip inside the intrahepatic biliary branches) through an opening in the wall of the recipient's common bile duct
-
a transcystic non-anastomotic position (the tube is placed through the cystic duct opening into the distal common bile duct not passing through anastomosis)
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Transanastomotic tube use of transanastomotic tube. |
Device: biliary drainage tube
|
Active Comparator: Transcystic tube use of transcystic tube to drain bile duct |
Device: biliary drainage tube
|
Outcome Measures
Primary Outcome Measures
- early postoperative biliary fistula [2 weeks]
Secondary Outcome Measures
- biliary stricture [2 years postoperatively]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
living donor liver transplantation
-
single bile duct in the graft
Exclusion Criteria:
- multiple bile ducts
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Gastro-enterolgy surgical center, Mansoura University | Mansoura | Al-Dakahleia | Egypt | 35516 |
Sponsors and Collaborators
- Mansoura University
Investigators
- Principal Investigator: Ahmad M Sultan, MD, PhD, Gastro-enterology surgical center, Mansoura University
- Study Chair: Mohammed Abdul-Wahab, MD, PhD, Gastro-enterolgy surgical center, Mansoura University
- Study Director: Tarek Salah, MD, PhD, Gastro-enterolgy surgical center, Mansoura University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Biliary_TCvsTA