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Journals / Turkish Journal of Medical Sciences / 2016 / Cilt: 46 - Sayı: 2

How to close open choledochotomy: primary closure, primary closurewith T-tube drainage, or choledochoduodenostomy?

Sabri Selçuk ATAMANALP
Ercan KORKUT
Şükrü ARSLAN
Nurhak AKSUNGUR
Mehmet İlhan YILDIRGAN
Bülent AYDINLI
Gürkan ÖZTÜRK
Bünyami ÖZOĞUL
Abdullah KISAOĞLU
Rüstem Berhan PİRİMOĞLU
Abdulmecit KANTARCI
Pages
283–286
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Primary closure is a safe and feasible method in selected patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Background/aim: Although common bile duct stones are generally treated endoscopically, surgery is required if endoscopic removal is impossible.
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Key Findings & Data:Materials and methods: A total of 282 patients with common bile duct stones underwent open choledochotomy; primary closure was applied in 48 (17.0%), primary closure with T-tube drainage in 81 (28.7%), and choledochoduodenostomy in 153 (54.3%) patients.
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Conclusion & Impact:Conclusion: Primary closure is a safe and feasible method in selected patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/aim: Although common bile duct stones are generally treated endoscopically, surgery is required if endoscopic removal is impossible. The aim of this study was to compare the surgical options in such patients. Materials and methods: A total of 282 patients with common bile duct stones underwent open choledochotomy; primary closure was applied in 48 (17.0%), primary closure with T-tube drainage in 81 (28.7%), and choledochoduodenostomy in 153 (54.3%) patients. Results: Postoperative complications were seen in 8 (16.7%) patients in the primary closure, 33 (40.7%) patients in the primary closure with T-drainage, and 37 (24.2%) patients in the choledochoduodenostomy group. No significant differences were observed among the groups (P > 0.05). The mean postoperative hospital stays in the primary closure, primary closure with T-tube drainage, and choledochoduodenostomy groups were 5.5, 13.5, and 8.9 days, respectively. The mean postoperative hospitalization was significantly shorter in the primary closure group than in the other groups (P < 0.05). Conclusion: Primary closure is a safe and feasible method in selected patients.

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Cite This Article

ATAMANALP, S. S., KORKUT, E., ARSLAN, Ş., AKSUNGUR, N., YILDIRGAN, M. İ., AYDINLI, B., ÖZTÜRK, G., ÖZOĞUL, B., KISAOĞLU, A., PİRİMOĞLU, R. B., KANTARCI, A. (2022). How to close open choledochotomy: primary closure, primary closurewith T-tube drainage, or choledochoduodenostomy?. Turkish Journal of Medical Sciences, Cilt: 46 - Sayı: 2, 283–286. https://ajindex.com/articles/610683

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