Primary Closure versus T-Tube Drainage after Laparoscopic Choledochotomy for Common Bile Duct Stones

Background: T-tube drainage was once the standard procedure following a surgical choledochotomy, however some centers now prefer to primarily shut the common bile duct. The purpose of this study was to compare the clinical results of primary closure with T-tube drainage after open choledocotomy and assess the safety of primary closure for possible future usage. Materials and Methods: The Department of General Surgery at the Central Indian Tertiary Care Medical College and Hospital served as the study’s site. Of the 35 patients in this trial, who ranged in age from 25 to 70, 15 (Group-A) had primary closure, and 20 (Group B) had T-tube implantation. Purposive, quasi-experimental, non-probability sampling was employed. The main outcome measures were postoperative complications, subhepatic drainage, operating time, and length of hospital stays. SPSS software was used to analyze the data. P values below 0.05 were regarded as statistically significant. Result: Patients in Group A spent an average of 4.11 days in the hospital, whereas those in Group B spent an average of 6.20 days. The overall rate of complications in Group-A was 53.3%. No re-examination was required in Group-A. Overall, Group B had 90% of the complications. Conclusion: In India, primary closure of the common bile duct (CBD) is a safe and cost-effective substitute for standard T-tube drainage following an open choledocotomy.