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EXPLORATION OF THE COMMON BILE DUCT FOR BENIGN CONDITIONS: AN ANALYSIS OF 413 PATIENTS
Author(s) -
WORTHLEY CHRISTOPHER S.
Publication year - 1982
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1982.tb06033.x
Subject(s) - medicine , surgery , common bile duct , complication , incidence (geometry) , drainage , biliary drainage , general surgery , ecology , physics , optics , biology
The morbidity and mortality following exploration of the common duct for benign conditions has been analysed retrospectively in 413 patients from the Royal Adelaide Hospital. Follow up ranged from one to 110 months (median 47 months). The major complication rates in patients having biliary “drainage procedures” (choledochoduodenostomy (56 patients), sphincterotomy or sphincteroplasty (65 patients)) compared favourably with those having choledochotomy with T‐tube insertion alone (307 patients). This was despite a greater incidence of potentially adverse factors in the former group. Problems related to retained or recurrent stones were effectively reduced by drainage procedures which were performed safely in the presence of acute inflammation. Symptomatic cholangitis was not more frequent after drainage procedures.