New surgical technique may reduce bile duct injuries in tough gallbladder cases
NCT ID NCT07137546
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a different surgical method (fundus-first) versus the standard method for removing difficult gallbladders in 174 adults. The goal was to see if the new method lowers the risk of bile duct injury, a serious complication. Participants had conditions like acute cholecystitis or a thickened gallbladder wall.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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174 people
The number who actually took part.
- Started
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May 2024
- Finished
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Feb 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18-80 years * Symptomatic cholelithiasis or cholecystitis requiring laparoscopic cholecystectomy (elective or emergency) * Difficult gallbladder characteristics: Acute cholecystitis (Tokyo Guidelines 2018 Grade II/III), wall thickness \>4 mm on US, pericholecystic fluid, impacted stone in Hartmann's pouch/cystic duct, previous upper abdominal surgery, BMI \>30 kg/m², ≥3 previous cholecystitis episodes, contracted gallbladder, Mirizzi syndrome Type I/II, empyema, severe pericholecystic adhesions on imaging, suspected anatomical variations * The American Society of Anesthesiologists (ASA) physical status I-III * Suitable for laparoscopic approach * Informed consent Exclusion Criteria: * Suspected gallbladder malignancy * Choledocholithiasis requiring endoscopic intervention * Mirizzi syndrome Grade III-IV * Gallbladder perforation with generalized peritonitis * Pregnancy or lactation * Contraindications to laparoscopy (severe cardiopulmonary disease, coagulopathy) * Previous biliary or hepatic surgery * Cirrhosis with portal hypertension * Active coagulopathy * Patient refusal
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Liver and GIT hospital / Minia university
Minya, Minya Governorate, 61519, Egypt
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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