CBD Repair Over T-tube or Primary Repair

Study Overview
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Brief Summary
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the aim is to assess the benefits and harms of T-tube drainage versus primary closure without biliary stent after exploration common bile duct stones

Detailed Description
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Common Bile Duct Exploration is a surgery that involves opening the main bile duct that drains from liver and gallbladder into the first part of the small intestine (the duodenum). This is needed when a gallstone drops out of the gallbladder into the duct and partially or completely blocks up the duct. This can cause jaundice , fever and chills, severe abdominal pain due to infection / inflammation of the bile duct, gallbladder or pancreas. This most often involves admission to the hospital and urgent intervention. Most commonly, a procedure called an ERCP is used to clear out the stones from the bile duct. If gallbladder will have to be removed soon to prevent this potentially serious condition from occurring again. During the operation the investigators remove gallbladder then a duct exploration is performed. This involves opening the duct directly and removing the stones. Prior to Common Bile Duct Exploration surgery, patient will be asked not to eat anything after midnight prior to the surgery. patient will be given specific instructions from the surgeon or anesthesiologist about which medications he should or should not take prior to the surgery. patient should not take any blood thinning medications at least 5 days prior to your operation. This should be discussed with the surgeon at the preop visit.

Official Title
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Comparative Study : Repair of Common Bile Duct After CBD Exploration Over T-tube or Primary Repair Without Tube

Conditions
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CBD Exploration

Intervention / Treatment
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* Device: T-tube


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who will undergo common bile duct exploration Exclusion Criteria: patients who has failed ERCP for management of common bile duct exploration CBD diameter 2 cm or more
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| CBD exploration with T-tube<br>repair of CBD after CBD exploration over T-tube | Device: T-tube<br>* T shaped tube used as stent after CBD exploration<br>|
| CBD exploration with primary repair<br>primary repair of CBD after CBD exploration | Device: T-tube<br>* T shaped tube used as stent after CBD exploration<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| bile leak from common bile duct | Assessment which type of repair (with T-tube or primary repair) bile leak will occurs more | baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| hospital stay length | Assessment which type of repair (with T-tube or primary repair) patient will stay in the hospital more after CBD exploration | base line |