A prospective randomized study of recurrent choledocholithiasis.
To assess the value of choledochoduodenostomy versus sphincteroplasty and T-tube drainage for the treatment of recurrent choldocholithiasis, 120 patients with this condition who underwent, through a randomized process, choledochoduodenostomy, group A, 40 patients; sphincteroplasty, group B, 40 patients, are presented in this study. Results revealed that, in the patients of group A, no death occurred, and that the low early morbidity rate was 10 per cent with a shorter hospital stay. Also, no patients underwent further operation for reasons related to the disease or the operation. In contrast, with regard to the patients in group B, the mortality was 5 per cent; the early morbidity rate, 25 per cent, and the late reoperation rate, 12.5 per cent. Similarly, for the patients in group C, the mortality was 2.5 per cent; the early morbidity rate, 30 per cent, and the reoperation rate, 22.5 per cent. These differences in mortality, early morbidity and reoperation rates between the patients in group A and those in group B and C are significant, p less than 0.001. From our results, choledochoduodenostomy is recommended for patients having clinical and operative findings which were used as criteria for eligibility in the present study.
D000328:Adult; D000368:Aged; D003135:Common Bile Duct / Q000601:surgery; D004322:Drainage; D004386:Duodenum / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality; D011183:Postoperative Complications; D011446:Prospective Studies; D011859:Radiography; D012008:Recurrence; D009803:Sphincter of Oddi / Q000601:surgery