Surgical outcomes of open choledochoduodenostomy in treatment of Sudanese patients diagnosed with benign obstructive jaundice: A single‐center prospective study

Abstract Endoscopic ductal clearance is associated with failure of stone extraction, recurrent stone formation, and lethal morbidities that need emergent surgical drainage. There are limited hospital‐based studies in Sudan and ongoing debate with fear among surgeons regarding choledochoduodenostomy (CDD) performance due to its high‐risk morbidities. Hence, this study aimed to determine the surgical outcomes of CDD in the treatment of benign obstructive jaundice because of choledocholithiasis to reach excellent surgical practice. This is a prospective study conducted during the period between March 2021 and February 2023 at Ibn Sina specialized hospital, Khartoum, Sudan, on 81 patients diagnosed with benign obstructive jaundice due to secondary choledocholithiasis. They underwent elective open common bile duct exploration with side‐to‐side CDD. Benign obstructive jaundice was more prevalent in females (65.4%), in the ratio (2:1). Distribution of patients according to age ranged between 46 and 60 years, representing (45.7%) of patients. The most significant reported comorbidity was obesity (BMI ≥30 kg/m 2 ) in (48.1%) of cases. Clinical scleral icterus was noticed in all (100%) patients. Magnetic resonance cholangiopancreatography revealed stones within the dilated common bile duct (2 cm) in (36.25%) of cases. The longest operative surgical time was 180 min in (48.75%) of patients. Postoperative complications were found in (6.2%) patients who had mild suppurative cholangitis. The mortality rate was zero. Side‐to‐side CDD is a safe, effective surgical procedure for permanent biliary drainage in patients who are diagnosed with benign obstructive jaundice. Moreover, if the facility for therapeutic endoscopic retrograde cholangiopancreatography (ERCP) is lacking, then common bile duct exploration with CDD should be the choice of treatment.