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Article | IMSEAR | ID: sea-203460

Résumé

Objective: To assess the outcome of primary closure ofCommon Bile Duct (CBD) after open and laparoscopiccholedocholithotomy.Method: This descriptive observational study was conducted ina private hospital in Chattogram, Bangladesh from February2016 to June 2019. All the patients who underwent open orlaparoscopic choledocholithotomy during the study period wereincluded. Ultrasonographic findings of CBD and its stone,wound infection, operation time, bile leak, biliary peritonitis,hospital stay all were observed.Results: A total of 35 patients were found from clinical recordshaving male to female ratio of 1:1.9. Most of the patients werein 41- 50 years age group. Mean operating time was 135minutes in laparoscopic type and 80 minutes in open type.Overall wound infections were in 5 patients (14.28%) and allwere in open group. Bile leak were in 4 patients (11.42%).Post-operative transient jaundice in 5 patients (14.20%). Biliaryperitonitis in 3 patients (8.57%).Retained single stone in one, pelvic abscess and abortion inone. Mean hospital stay were 5days in open type and 2 days inlaparoscopic type.Conclusion: Primary closure of common bile duct aftercholedocholithotomy is relatively safe and not associated withthat much of complications.

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