Comparative study of management of common bile duct stone, our experience of 20 patients at sir Ganga Ram hospital Lahore

ABSTRACT

To compare different methods of management of CBD stones at Sir Ganga Ram Hospital Lahore i.e ERCP with pappilotomy, Sphinterotomy or removal through Dormia's Basket and Open Cholecystectomy with choledochotomy. It was observational comparative Study. The adult patients having CBD stones. One years i.e. from 15[th] June 2008 to 15[th] June 2009. The mode of management of these patients for common bile duct stones was absorved. The out come and complications of both techniques were compared. Total 20 patients were included in the study. Out of them 12 were managed by open cholecystectomy and choledochotomy and the remaing 8 were treated by doing endoscopic retrograde cholangiopancreaticogram [ERCP]. The out come of both techniques were than compared. In our Hospital the majority of the patients of CBD stones are being managed by open technique i.e. open cholecystectomy and choledochotomy along with T-tube insertion, which is contrary to the approach of developed countries i.e. endoscopic and laproscopic approach: