Choledochoduodenostomy in the management of choledocholithiasis

ABSTRACT

A two years study from January 1993 to December 1994 was carried out to determine the safety and effectiveness of Choledochoduodenostomy as the definitive treatment of Choledocholithiasis. A total of 30 patients underwent the operation. In 22 cases the Choledochoduodenostomy was done alongwith cholecystectomy and 8 patients had cholecystectomy / CBD exploration done previously. At the time of admission 83.3% patients had pain, 46.7% had jaundice, and 50% had past history of jaundice. Fever with rigors was present in 46.7% cases and at operation common bile duct diameter was less than 2cm in 20 cases and more than 2 cm in 10 cases. Post operative wound infection occurred in 26.7% cases, 10% developed cholangitis and 2 [6.7%] had leakage from anastomosis out of which one patient [33.3%] died