A Comparative Study of Common Bile Duct Drainage by T-tube and Choledochoduodenostomy in Cases of Common Bile Duct Stones

ABSTRACT

To study and compare the cases of ‘T’-tube drainage and Choledochoduodenostomy done for Common Bile Duct stones. Methods: A prospective study was conducted from October 2019 – September 2021 (24 months including followup period) in patients diagnosed to have Choledocholithiasis in MGM Medical College and Hospital, Kishanganj, Total 50 patients were Included in this study. Those patients in whom CBD stones detected incidentally on investigation like Ultrasonography upper abdomen done for chronic calculus cholecystitis or detected during surgery for cholecystectomy ie, asymptomatic stones were also included in this study. Results: In the cases of our study, most of the patients (62%) didn’t has sludge. Choledochoduodenostomy was more frequently performed when sludge was present (P=0.043), whereas ‘T’-tube drainage was performed when sludge was absent. only 19 cases (38%) had sludge. And also it was present more commonly with larger diameter CBD (P value =0.016). Conclusion: In this study, both the surgical procedures did not produce any mortality. Some patients developed complications. This could be because much of the study population was elderly and most of the complications were noted in patient with acute cholangitis. In both the group, wound infection was noted to be most common complication. All of the patients treated conservatively successfully.