DOI: 10.36347/sjams.2022.v10i10.032

Pages: 1770-1773

Background: Common bile duct (CBD) stones that remain after surgery or are missing and ascending cholangitis following CBD exploration are both serious complications of biliary surgery. Both patients and doctors suffer greatly when problems need repeated bile tract procedures. Objective: To evaluate the Choledochoduodenostomy versus T-tube drainage in patients has stones in common bile duct with risk factors of post-operative missed stone. Method: This cross-sectional study was carried out at tertiary hospital, Bangladesh from June 2020 to June 2022. Where, 80 patients who compare two methods for surgical management of CBD stones were included as a sample population. Where Group-1 included 40 patients who were managed by CBD exploration followed by insertion of T tube, the risk factors of the incidence of missed retained stone in CBD were multiple stones in CBD and hugely dilated CBD (>15 mm). The second method was choledochoduodenal anastomosis for patients having the same previous risk factors (Group-2) which included 40 patients. Results: During the study, 50% cases were belonging to 41-50 years and 60% were female. In group-1 abdominal pain was seen 92% cases followed by 93% had jaundice, 25% had Cholangitis, 81% had CBD stones, 93% had abnormal liver function test. Whereas in group-2 abdominal pain was seen 94% cases followed by 97% had jaundice, 27% had Cholangitis, 85% had CBD stones, 96% had abnormal liver function test. In addition, in group-1 9.8% had wound infection, 5% had cholangitis and 16.5% had residual stones. Whereas, in group-2 5% had wound infection, 5% had cholangitis and no one had residual stones. Conclusion: According to the findings of this study, choledochoduodenostomy is a successful and safe operation for significantly lowering the incidence of missing or residual bile duct stones when compared to biliary drainage using a T tube in the presence of risk factors.