Minimally invasive management of common bile duct stones: a prospective study comparing primary closure and t-tube drainage

Different techniques of CBD closure have evolved over the years in the laparoscopic management of CBD stones which includes primary closure and T tube closure. The aim of this study was to compare primary closure with T-tube drainage in the surgical management of common bile duct stones regarding efficacy and outcome. The study was conducted during June 2015 to May 2018 in the Department of Surgery, IGMC, Shimla, including 40 diagnosed cases of symptomatic CBD stones. Proper comparative evaluation between the two techniques at preoperative, intraoperative, and postoperative levels was done. Primary closure results in less operative time and shorter hospital stay as compared to equal complication rates but prolonged duration of drainage with T-tube drainage. It can be concluded from the study that primary closure is a feasible and less morbid alternative for selected patients.