Abstract :
Choledocholithiasis is the common problem that necessitates surgical
intervention. It is managed either by endoscopic sphincterotomy or surgical
exploration i.e. choledochotomy. The traditional surgical management of
CBD stones consists of a supra-duodenal choledocotomy and insertion of a Ttube. The role of T–tube has been challenged since Thornton and Halsted
described primary duct closure after CBD exploration. This study was carried
out with an aim to evaluate the feasibility and safety of primary closure as
compared to T-tube drainage in choledocholithiasis cases requiring CBD
exploration. 70 patients in the age group of 18-60 years presenting with
common bile duct stone were included after obtaining informed and written
consent with exclusion of patients with malignant conditions and CBD
dilation >2.5 cm. Patients fulfilling the inclusion criteria were randomly
allocated into two groups of 35 patients each: Group I (Primary repair group) and Group II (T-tube repair group).In
Group I duration of hospital stay ranged from 8 to 20 days (mean 12.03±2.60 days) whereas in Group II this range was
18 to 29 days (mean 22.74±3.41 days. Statistically, the difference between two groups was significant (p
Keyword :
Choledocholithiasis, T-tube drainage, Primary Closure of CBD.