The Safety of Choledochoduodenostomy in Common Bile Duct Obstruction

Abstract

A 5 years retrospective analytic study of the common bile duct surgery in Nakhorn Nayok general hospihtal  was carried out.  It was divided into 3 groups, the first group was operated by choledochoduodenostomy (CDD), second group by loop choledochojejunostomy or Roux en Y   choledochojejunostomy and the third group by common bile duct  exploration with t tube stent.  Of the total 154 patients with biliaty tract diseases, only 29 cases (18.8%)  were effected with common bile duct obstruction.  Fifteen (51.7 %) were female.  Eighteen of the  29 cases (62.1%), 10 females (55.56%) and 8  males (44.44%) underwent choledochoduodenostomy, mostly operated by researcher. Choledochoduodenostomy in patients with distal common bile duct obstruction have shorter operation times than  the others two procedures. CDD has low post operative complications because of having only one anastomosis. No patient was found to have duodenal reflux and developed cholangitis.  Two patients died after choledochoduodenostomy but not from operative choices of surgery.