Primary Closure after Open Common Bile Duct Exploration in Comparison to T-tube Drainage. Our Experience in a New Medical College of Assam
Keywords:Common bile duct (CBD), primary closure, T-tube, choledocholithotomy
Background: Traditionally T-tube drainage of CBD is most commonly done. However T-tube has its own
problems mainly longer hospitalisation, longer absence from work and many complications. This study done
to assess outcome of primary closure of CBD after open CBD exploration.
Methods: This retrospective study was done in Tezpur Medical College which is a new medical college in
Assam. All the patients who underwent CBD exploration in our unit were analysed to compare the results.
All together 38 patients underwent CBD exploration of which in 18 primary closure of CBD was done.
Results and Conclusion: Our results indicate lesser complications for primary closure, much shorter
hospital stay in comparison to T-tube drainage.
Primary closure of CBD after choledocholithotomy is safe, much simple and effective and has lesser
complications in comparison to T-tube drainage.
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