ABSTRACT
Background: CBD stones are present in about 10–18% of cholelithiasis patients who have their cholecystectomy. Cholecystectomy combined with CBD exploration could be used to treat CBD stones. The primary repair with stent insertion has been shown to be effective in preventing T-tube complications.
Aim and objectives: The current research aimed to analyze the surgical CBD exploration with primary closure of CBD with Biliary Stent (BS) vs. T-tube drainage, with assessment outcomes of this procedure.
Patients and Methods: It was a prospective study involving 20 patients who complained of jaundice caused by irreversible common bile duct stones (CBDSs) after ERCP failure. Following a thorough explanation of either technique, the patients were randomized into two comparable groups. Group A: consisted of ten patients who were scheduled for primary closure of CBD with internal stent insertion, and Group B: consisted of ten patients who were scheduled for T-tube drainage of CBD.
Results: The present study revealed that Patient's morbidity in Group (A) show that 9(90%) had no morbidity and 1(10%) had morbidity while in Group (B) 5(50%) had no morbidity and 5(50%) had morbidity, and there was a statistically significant difference among groups for pancreatitis (P=0.033), cholangitis (P=0.033) and hospital stay (P=0000).
Conclusion: Surgical repair of CBD with internal stent insertion appears to be an efficient technique for managing irreversible CBD stones with fewer surgical-related complications and a shorter hospital stay, and it must be the first choice in these patients' management.
Keywords: Choledocholithiasis; Biliary Drainage; Stent; T-Tube.