Safety of primary common Bile Duct Closure
Article Sidebar
Main Article Content
Abstract
Primary closure of the common bile duct following exploration has been safely and effectively performed, as advocated by Halsted, provided no evidence of pancreatitis, cholangitis, or ampullary obstruction exists. This study was to gain back confidence to primary closure in selected cases. This study was conducted at Beniswaif University Hospital. Between July 2008 to May. 2014. Using this precedent, the operative management and post-operative course of 19 patients undergoing common bile duct (CBD) exploration for choledocholithiasis were studied, twelve had primary closure of the common bile duct following choledochotomy and exploration, and seven had T-tube placement.
Patients were selected for T-tube if there were pancreatitis, cholangitis, undue trauma, ampullary obstruction. Two patients in that study had bile leak, one in each group. Intravenous fluids were less in primary suture (P<0.001). The long of stay were significantly less in primary suture (P<0.001). The outcome of this study greatly support the safety of primary common bile duct closure in selected cases.
Article Details
Copyright (c) 2019 Abdelhamid M, et al.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Seale AK, Ledet WP. Primary common bile duct closure. Arch Surg. 1999; 134: 22-24. Ref.: https://goo.gl/ZHHsNL
Hunter JC, Trust T. Laparoscopic cholecystectomy, intraoprative cholangiography and common bile duct exploration. In Nuhus LM, Baker RJ, Fischer JE (eds). Mastery of surg, 3rd ed: Boston – little, Brown and company. 1997; 1098-1009.
Halstead WS. Surgical papers. Baltimore: Johns Hopkin University Press. 1924; 2: 427-472.
Ellis H. Choledocholithiasis. In Schwartz SI, Ellis H and Husser WC (eds). Maingot’s abdominal operation, 8th ed.: East Norwalk-Appleton-Century crotts. 1985; 1883-1808.
Piecuch J, Arendt J, Gradzik R, Rudzki M, Sosada K, et al. Primary suture following the bile duct exploration in cholelithiasis. Wrad Lek. 2004: 57: 241-244. Ref.: https://goo.gl/Y7wsk2
Xu L, Zheng Z, Chen K, Wu R, Mao G, et al. Primary common bile duct closure after choledochotomy. Zhonghua Wai Ke Za Zhi. 2002; 40: 927-929. Ref.: https://goo.gl/z7SgCS
Sikic N, Tutek A, Strikic N. Primary suture vs. T-tube after common bile duct exploration. Przegl Lek. 2000; 57: 143-145. Ref.: https://goo.gl/zxswx3
Swinscow TDV, Campell MJ. Statistics at square one. BMJ Publishing group, Plymouth, Latiner Trend and company ltd. 1996; 1-138 9th ed. Ref.: https://goo.gl/wcbx79
Mayo WI. An address on the surgery of the hepatic and common bile ducts. Lancet. 1923; 1: 1299 – 1302. Ref.: https://goo.gl/qKioQd
Kirschner M. Operations on the gall bladder and the bile passage. In Kirschner M (ed). Abdomen and Rectum operative surgery. Philadelphia, Lippincott. 1933: 460-517.
Mirrizzi PL. Primary suture of the common bile duct in choledcholithiasis. Arch srug. 1942; 44: 44-54. Ref.: https://goo.gl/o469su
Edwards LW, Herrington JL. Closure of the common bile duct following its exploration. Am surg. 1953; 137: 171-189-194. Ref.: https://goo.gl/SkL8j8
Dawson RE, Edwards WH, Edwards LW, Herrington JL. Further consideration in the evaluation of primary closure of the common bile duct following its exploration. Am surg. 1957; 145: 153-161. Ref.: https://goo.gl/iKgdmz
Sorensen VJ, Buck JR, Chungs K, et al. Primary common bile duct closure following exploration. Am surg, 1994; 60: 451-454. Ref.: https://goo.gl/TvBMaE
Payne RA, Woods WG. Primary suture or T-tube drainage after choledochotomy. Ann R coll Surg Engl. 1986; 68: 196-198. Ref.: https://goo.gl/QfSb26
Williams JA, Treacy PJ, Sidey P, Worthley CS, Townsend NC, et al. Primary duct closure versus T-tube drainage following exploration of the common bile duct. Aust NZJ Surg. 1994; 64: 823-826. Ref.: https://goo.gl/Q8wrxX
Rafailidis S, Ballas K, Symeonidis N, Pavlidis T, Psarras K, et al. Primary closure of common bile duct – Long-term results. The Internet Journal of Surgery. 2010; 23: 1528 -1531. Ref.: https://goo.gl/gJCHnz
Dong ZT, Wu GZ, Luo KL, Li JM. Primary closure after laparoscopic common bile duct exploration versus T-tube. J Surg Res 2014; 189: 249-254. Ref.: https://goo.gl/7eze6f
Estellés Vidagany E, Pozo DD, Tomás P, Ares D, et al. Eleven years of primary closure of common bile duct after choledochotomy for choledocholithiasis. Surg Endosc. 2016; 30: 1975-1982. Ref.: https://goo.gl/4LSsDr
Joshi MR, Singh DR. T-tube vs Primary Common Bile Duct Closure. J Nepal Med Assoc. 2010; 49: 199-203. Ref.: https://goo.gl/9RYS3o