CHOLEDOCHODUODENOSTOMY ΙΝ CHOLEDOCHOLITHIASIS; Α COMPERATIVE STUDY BETWEEN EMERGENCY AND SELECTIVE CASES

Authors

  • Σ. ΚΛΗΜΟΠΟΥΛΟΣ
  • Γ. ΕΥΘΥΜΙΟΥ
  • Β. ΚΟΜΠΟΡΟΖΟΣ
  • Κ. ΚΟΥΤΣΟΠΟΥΛΟΣ
  • Ε. ΚΟΥΤΣΙΛΙΕΡΗΣ
  • Α. ΚΑΤΣΑΣ

Abstract

This is a retrospective study in 121 patients (age average 67±11) operated for choledocholithiasis. A choledochoduodenostomy was performed in all patients. As an emergency procedure in 34 patients (28%) while in the rest of the 121 patients (62%) same procedure was done in elective cases. Mortality in all patients was 11/121 (9%) and in emergency patients 4/34 (11,76%) while only 7 deaths in elective cases (7%). Hospitalization was 14±10 days in emergency cases while 19±17 days in elective cases. Complications number was about the same in both groups (25%). Choledochoduodenostomy is a procedure whitout any special groups concerning mortatify, morbility, hospitalization.

References

Riedel BMCL : Erjahrungen uber die gallensteink heit mit und ohne icterus. Berl. Hirschwald (1892) PP . 116

Johnson A.G., Steνens Α.Ε : Importance of the size of the stoma in cholodochoduodenostomy. (1969) Gut : 10 : 68.

Kraus Μ.Α. , Wilson S.D.: Choledochoduodenostomy. Jmportance of common Duct Size and Occurence of Cholangitis. (1980) : Arch. of Surg. 115 (10) : 1212.

Jones A.S : The choise between transduodenal sphincteroplasty and lateral choledochoduodenostomy for distal common duct Obstruction. ln Nyhus and Baker (Ed.) Mastery of Surgery Vol I. pp. 695 (1984). Little, Brown and Co, Boston (Toronto).

Stuart Μ. Hoerr S.O : Late results of side-to-side choledochoduodenostomy, and transduodenal sphincterotomy for benign disorders. (1972) Am. Surg 123:67.