CHOLEDOCHOLITHIASIS

FREQUENCY OF CHOLEDUCHOLETHIASIS AND EVALUATION OF PRIMARY CLOSURE OF COMMON BILE DUCT AFTER OPEN EXPLORATION AS A TREATMENT MODALITY IN ITS MANAGEMENT

Abstract

Objectives: To determine the frequency of choleducholethiasis in patients
with symptomatic gall stone disease and evaluation of primary closure of common bile duct
without T-Tube placement after open exploration as a treatment modality in its management.
Study Design: Prospective (descriptive) study. Setting: Surgical Unit of Postgraduate Medical
Institute, Lady Reading Hospital, Peshawar. Period: One year from 15-03-2013 to 15-03-
2014. Subjects and methods: Total 0f 206 patients of symptomatic gallstones disease were
included in the study to find out frequency of choledcholithias and patients with common bile
duct (CBD) stones were subjected to open choledochotomy and primary choledochorrhaphy,
and follow up of patients was done to find out any post operative complication. Results: A
total of 206 patients underwent open cholecystectomy during the study period. The age of
the patients ranged from 17 to 70 years with mean of 44.24±1.23 years. Most of the patients
with symptomatic gall stones disease were female in the age range of 41-50 years. Frequency
of choledocholethiasis was 24 out of 206 constituting 11.65%. Among the patients with CBD
stones 4 were male constituting 16.6% and 20 were female that is 83.33% with male to female
ratio of 1:4 respectively. Mean hospital stay of the patients in which open CBD exploration
and primary repair was performed was 7.25±1.45 days. Complications developed in only 4
patients constituting 16.66%. Complications were wound infection in 2 (8.33%) patients, intraabdominal
pus collection in 1 (4.16%) patient and bile leak in 1 (4.16%). One patient lost from
follow up. In none of the patients retained CBD stones and stricture observed. Conclusions:
There should be low