Magen-Darm- und Verdauungssystem

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A Comparative Study between T-Tube Drainage vs. Stent in Open CBD Exploration

Mohammed Harsath, Rasik Fareed, Ganga C, Janakiraman R

Choledocholithiasis is presence of stones in common bile duct. Choledocholithiasis develops in about 10%-15% of patients with gall stones. There are two methods for extracting CBD stones endoscopic retrograde cholangiopancreatography or surgically by CBD exploration. ERCP is preferred method in management of CBD stones. In patients where ERCP stone retrieval is contraindicated or failed, surgical exploration is done. After open CBD exploration the CBD can be closed primarily without any stent after performing intra operative cholangiogram and confirming that there is no stones. If stones are identified or if intra operative cholangiogram is not available then CBD cannot be closed primarily where comes the role of stent or T Tube in the management. In our study, the outcomes of stent was compared with T tube drainage after open CBD exploration. The data gathered from the study population comprising of 40 patients was analysed with particular reference to the objectives of the study. As per study, we have taken 40 cases out of which T-tube were placed in 18 patients and Amsterdam stent were placed in 22 patients. Our results indicated that there is no difference in outcome.