Group comparison analysis for the effect of CBD exploration between T tube and primary closure.pdf

1、The purpose of this prospective randomized study was to compare the post operative short term and midterm complications in patients whounderwent CBD exploration by using T-tube and primary closure.
　　Study design:Pros

2、pective randomized clinical trial.
　　Place＆Duration of study:Hepatobiliary Department of First Affiliated Hospital of Xinjiang Medical University Urumqi China from August 2009 to March 2013.
　　Methods:A total of 14

3、8 consecutive patients with common bile duct stones (CBDS) and CBD dilation were enrolled in this randomized study to undergo open cholecystectomy with CBD exploration. Preoperative findings, postoperative short termcomp

4、lications, postoperative follow up (midterm), and hospital stay were recorded and analyzed.
　　Results:A T-tube was inserted in 76 (51.35％) patients and the primary closure was done in 72 (48.64%) patients. There were

5、no differences in the demographic characteristics and clinical presentations between the two groups. Compared with the T-tube group 8.97±1.629 (days), the postoperative stay in primary closure 5.34±1.25(days) were signif

6、icantly shorter (p=<0.01). The incidence of overall postoperative short term complications and midterm complications were statistically and insignificantly lower in primary closure group (9.7%) than that in T-tube group

7、(17.10%) with (p=0.189).
　　Conclusion:Sample of our clinical comparison trial indicates that complicationsin primary group lower than that in T tube group but there is no significant statistical difference. So during