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Category: Volume 06 Issue 12 December 2018
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Title: A Comparative Study of T-tube versus Ante grade Stenting of CBD after Open CBD Exploration for Choledocholithiasis

Authors: Thinless Gyalpo, Mubashar Akram, Kunzes Dolma, Tariq P Azad

 DOI: https://dx.doi.org/10.18535/jmscr/v6i12.68

Abstract

Background: CBD stones once confirmed have to be extracted in order to prevent the complications related to them. Conventionally T-tube is used for decompression of CBD after open choledocholithotomy which has its own share of complications

Aim: To compare clinical outcome in patients of choledocholithiasis undergoing CBD exploration using either a biliary stent or T-tube as a decompression procedure.

Design and Place:This was a  prospective randomized comparative study where 40 patients after being admitted in Post Graduate Department of Surgery Government Medical College, Jammu over a period of one year w.e.f. November 2015 to October 2016 with diagnosis of choledocholithiasis were divided into two groups (Group A and Group B), each having 20 patients.

Method: 40 patients selected in study were subjected to open CBD exploration for choledocholithiasis. Out of these,20 patients in Group A underwent primary closure of the choledochotomy over a biliary stent after open CBD exploration and 20 patients in Group B underwent closure of choledochotomy over a T-tube after open CBD exploration.

Result: Primary closure of the CBD over biliary stent is a safe alternative to T-tube drainage with benefits of shorter operative time, hospital stay and lesser morbidity.

Conclusion: Closure of CBD over endobiliary stent is a modality for management of CBD stones with proven safety and good results.

Keywords: Choledocholithiasis, Biliary Stenting, T-Tube drainage, CBD.

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Corresponding Author

Mubashar Akram

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