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Laparoscopic choledochoduodenostomy: Old wine new bottle

Anil Negi, Sudesh Kumar Sagar, Dhiraj Kumar.

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Background: Choledocholithiasis is a common medical condition in medical sciences requiring intervention.
Among various available techniques Choledochoduodenostomy (CDD),the old age technique is being performed by laparoscopic means.
Aim: To study the Laparoscopic choledochoduodenostomy as a surgical option in case of choledocholithiasis.
Patients and Methods: This is a prospective study, conducted on 159 patients, diagnosed as a case of choledocholithiasis and operated through laparoscopic CDD, and later on followed up to three year in a structured manner for early and long term complications esp. Sump syndrome.
Results: Abdominal pain with jaundice was most common presenting complaint. 65.40% had secondary stones, while 10.06% and 5.66% had retained and recurrent stones respectively.8.5% had alkaline reflux gastritis in post operative period , which was managed conservatively, none developed Sump syndrome.
Conclusion: Laparoscopic CDD is one of the minimally invasive option for choledocholithiasis with less complications.

Key words: Choledochoduodenostomy, CDD, Sump syndrome, Laparoscopic choledochoduodenostomy, Obstructive jaundice

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