Primary closure after exploration of the common bile duct

ABSTRACT

The use of T-tube drainage after exploration of the common bile duct [CBD] is associated with many complications, and primary closure [PC] could be a safe and better alternative. 16 patients [7 males and 9 females with their age ranged from 19 to 67 years] had open exploration of the CBD with PC without T-tube drainage. There was no mortality. Postoperative complications were minimal. Bile leak occurred only in one patient which was managed conservatively. No recurrence of stones or late postoperative complications. We conclude from this study that PC of the CBD can be done safely with no mortality and very low morbidity. It should be the routine after CBD exploration in selected cases