Jahanzaib Haider, Adnan Aziz, Laiquz Zaman Khan, Shams Nadeem Alam.
Primary closure of common bile duct after open choledochotomy.
J Surg Pak Jan ;14(4):173-5.

Objective: To assess the outcome of primary closure of common bile duct after open choledochotomy. Study design: Descriptive case series. Place & duration of study: Department of surgery, unit II, III and VI, Dow University of Health Sciences and Civil Hospital Karachi from June 2005 to May 2009. Patients and Methods: Clinical records of all the patients who underwent bile duct exploration followed by primary closure were reviewed. Main outcome measures were operating time, duration of hospital stay and postoperative complication; including bile leakage, subphrenic abscess, biliary peritonitis and postoperative jaundice. The SPSS version 11 was applied to the data for analysis. Results: A total of 38 patients were found from clinical records having male to female ratio of 1:6.6. Mean (± SD) operating time was 95 (+ 7) minutes. The overall complication rate was 10.52%. Bile leak was encountered in three (7.89%) patients whereas small subphrenic collection was noticed in one (2.63%) patient who was treated conservatively. None of the patients experienced postoperative jaundice and biliary peritonitis. Mean (± SD) duration of hospital stay was 7.63 (+ 1.63) days. Conclusion: Primary repair of common bile duct after open choledochotomy is safe and associated with low complication rate.

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