European Journal of Molecular & Clinical Medicine

Abstract

Background: Common bile duct stones occur in 7-12 % of all the patients with symptomatic cholelithiasis. In this study, we are presenting our experience of dealing with common bile duct and gallbladder stones by open surgical methods. The objective of the study was to study the open surgical approach to common bile duct and gallbladder calculi.
Methods: The study comprised of 22 out of 71 patients admitted for choledocholithiasis  in surgical wards at AIMSR, Hyderabad from October 2018 to October 2022 who underwent open surgical approach. Rate of CBD clearance, post op bile flow, hospital stay and morbidity were assessed.
Results: Out of the 22 cases, 18 cases were subjected to open Cholecystectomy, CBD exploration and T-tube drainage, 2 patients underwent choledochoduodenostomy,  one case choledochojejunostomy was performed and in one case  hepaticojejunostomy was done due to CBD stricture.   All 22 cases survived and were followed up for combined hospital stay, expenses, CBD clearance and morbidity related to anesthesia and surgery.
Conclusion: Open surgical approach remains a feasible and excellent option for patients with choledocholithiasis in view of CBD clearance, post op bile flow, hospital stay, morbidity in the absence of advance technical facilities and expertise