Surgical Management of Major Extra Hepatic Bile Ducts Calculi
Iraqi Postgraduate Medical Journal,
2017, Volume 16, Issue 3, Pages 252-260
Common bile duct stones or choledocholithiasis are present in 10% of people with gall stones disease. Patients may be asymptomatic or presented with jaundice, abdominal pain and fever. CBD stones can be single or multiple. The vast majority of common bile stones are secondary to the passage of stone from the gall bladder.
Pre-operative detection of choledocholithiasis is usually by imaging study, either abdominal ultrasonography (US) or magnetic resonance imaging (MRI).
Management of choledocholithiasis is usually done by means of endoscopic retrograde cholangio-pancreatography (ERCP), but sometimes this is not feasible for variable reasons and surgical exploration and stone extraction is needed.
There are variable methods for surgical management of choledocholithiasis, each method has its advantage and disadvantage.
The aim of our study is to compare these surgical methods and compare the outcome of each procedure
One hundred patients with CBD stones were included in the study and divided into five groups according to the choice of surgical intervention used, the outcome of each group was compared.
There are several surgical methods to deal with CBD stones, each has its advantage and its disadvantage and there is no single best method over the other.
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