Comparative study between different modalities of common bile duct closure after exploration and choledocho-lithotomy | ||||
| Minia Journal of Medical Research | ||||
| Articles in Press, Accepted Manuscript, Available Online from 22 August 2023 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2023.229432.1504 | ||||
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| Authors | ||||
Mohamed Ahmedd Talaat  1; Ahmed Mohamed Attia2; Tohamy Abd Allah Tohamy3; Asaad Abdelrahman Abdelaziz4; Mchael Remon Roshdy5
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| 1department of general surgery,faculty of medicine,Minia univesity ,Egypt | ||||
| 2Egypt, ElMinia university, faculty of medicine, associate professor of surgery . | ||||
| 3General Surgery Department, Faculty of Medicine, Minia University | ||||
| 4general surgery department,faculty of medicine,Minia university,Minia,EGYPT | ||||
| 5general surgery department,faculty of medicine,Minia university,Mina,Egypt | ||||
| Abstract | ||||
| Abstract Background: Recent developments in radiologic, endoscopic, and surgical procedures have increased treatment options and made laparotomy unnecessary for evacuation of bile duct stones. Choledochotomy, stone extraction, confirmation of CBD clearance via passage of a soft catheter or dilator proximally or distally, cholangiography, and choledochoscopy are all part of standard CBD exploration process; choledochoscopy may be preferred; and finally, drainage procedures are recommended but are controversial due to options such as: biliary drainage using a T-shaped tube. A biliary stent is implanted intraoperatively. Aim of study: The purpose of this study is to compare two methods of CBD closure following CBD exploration: T-shaped tube biliary drainage and biliary stent implantation. Patient and methods: Thirty patients were included, all of whom had undergone general surgery at ELMinia University Hospital. CBD stones found in every single one of them. Results: In situations of CBD stone with failure of stone extraction by ERCP, a common bile duct closure after intraoperative biliary stent implantation is safe and possible after choledocolithotomy in appropriate patients. findings demonstrate the efficacy of this method in terms of reduced length of stay in the hospital, decreased risk of complications such biliary leakage and biliary stricture, and reduced financial outlay. Conclusion: In this study we found that intraoperative CBD stenting after choledocholithotomy is better than T-tube drainage with shorter hospital stay, wound infection, good biliary drainage from CBD to the duodenum with less liability for postoperative bile leakage, equivalent operation time and mortality rate. Keywords: CBD exploration; choledocho-lithotomy; CBD stent. | ||||
| Keywords | ||||
| CBD exploration; choledocho-lithotomy; CBD stent | ||||
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