Publication:

Primary closure after common bile duct exploration versus T-tube drainage: a prospective randomized study and review of literature

Background T tube drainage following CBD exploration has been a gold standard for a long time now. This has its own set of problems, mainly prolonging hospital stay and leakage around T-tube. This study was designed to assess the outcome of primary repair of CBD in terms of operating time, duration of hospital stay and postoperative complications.

Methods We conducted a prospective randomized study of 60 patients divided into two groups, at our institute to see the effectiveness of primary closure and compared the results with those patients who had T tube drainage.

Results Our results indicate that the hospital stay is reduced to half in cases with primary closure and there were no significant complications resulted in primary closure cases.

Conclusions Primary closure of the common bile duct following CBD exploration is a safe and effective method and it helps to reduce the morbidity related to T-tube use. We strongly recommend the primary closure of CBD following its exploration.