To assess the outcome of primary repair in common bile duct exploration for choledocholithiasis

Abstract

The present study was planned in the Department of Surgery, Department of Surgery, U.P. University of  Medical  Sciences Saifai Etawah from July  2018 to August 2019. Total 42 patients of choledocholithiasis were included in present study. The patients were evaluated with      routine   investigations including full blood counts, liver function tests, ultrasonography upper abdomen, renal function tests, X-ray chest and ECG. When the location and cause of obstruction could not be diagnosed with ultrasonography then magnetic  resonance cholangio-pancreatography was performed To rule out malignancy, contrast-enhanced computerized tomography was performed in selected  cases. The criteria for choledochotomy were palpable CBD stones preoperative ultrasound or radiographic evidence of CBD stones or dilated CBD with     or without   jaundice. Patient     with recurrent CBD stone, choledochal cyst CBD injury, stricture and previous CBD Surgery During routine investigations patients found with malignancy, renal failure, and other severe comorbidities were excluded from the study. All patients  complications including bile leakage, biliary received prophylactic antibiotics in the form  peritonitis, and postoperative jaundice were of Cefriaxone 1 gram intravenous 30 minute. Primary closure following CBD exploration is a safe and effective measure for CBD stone associated with low complication rate and faster recovery. Primary closure of CBD is a safe and effective measure associated with low complication rates.