In this study 49 patients had exploration of common bile duct (CBD).
They undergo primary closure after insertion of choledocho duodenal
stent. Our purpose is to evaluate the efficiency of this method, with
special attention to post operative complication and stent expulsion.
Pourty seven patients with stones CBD and two with iatrogenic injury
of their CBD during cholecystectomy, were included in this work. Duct
clearance was insured proximally and distally. Nelaton tube 8-10 Ft. was
inserted into the CB1D down to the duodenum. Choledochotomy incision
was closed primarily using polyglycolic acid stutre. Single suction drain
inserted subhepatic near the suture line. Patients with stenosed lower
end of CBD and sphincter of Oddi were excluded. No operative mortality.
mean hospital stay was 4.4 days. one patient stayed for 18 days as he
developed pancreatitis Another patient remain in the hospital for 10 days
due to chest infection. The stent passed with defaecation spontaneously
at 25- 40 days. No other complication developed during 24 months follow
up. Closure of CBD primarily with an internal drainage using choledocho
duodenal stent is a safe and effective procedure. It requires a short
hospital stay compared with T- tube drainage, many patients return to
work within 2 weeks. |
