Primary closure after common bile duct exploration versus T-tube drainage: a prospective randomized study and review of literature

Authors

  • Arun Kumar Rathore Department of Surgery, S N Medical College, Agra, Uttar Pradesh
  • Rajesh Gupta Department of Surgery, S N Medical College, Agra, Uttar Pradesh
  • Kunwar Vishal Department of Surgery, S N Medical College, Agra, Uttar Pradesh
  • Joginder Pal Singh Shakya Department of Surgery, S N Medical College, Agra, Uttar Pradesh
  • Shwetank Prakash Department of Surgery, S N Medical College, Agra, Uttar Pradesh

DOI:

https://doi.org/10.18203/2349-2902.isj20162713

Keywords:

CBD, T-tube, Primary closure, Choledocholithiasis

Abstract

Background:T tube drainage following CBD exploration has been a gold standard for a long time now. This has its own set of problems, mainly prolonging hospital stay and leakage around T-tube. This study was designed to assess the outcome of primary repair of CBD in terms of operating time, duration of hospital stay and postoperative complications.

Methods: We conducted a prospective randomized study of 60 patients divided into two groups, at our institute to see the effectiveness of primary closure and compared the results with those patients who had T tube drainage.

Results:Our results indicate that the hospital stay is reduced to half in cases with primary closure and there were no significant complications resulted in primary closure cases.

Conclusions:Primary closure of the common bile duct following CBD exploration is a safe and effective method and it helps to reduce the morbidity related to T-tube use. We strongly recommend the primary closure of CBD following its exploration.

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Published

2016-12-09

Issue

Vol. 3 No. 3 (2016): July-September 2016

Section

Original Research Articles