To show that primary closure of the common bile duct following minicholecystectomy is safe and effective.Design: Eighty-nine primary common bile duct closures done over 13 years.Setting: General community hospital.Patients: Patients with cholangiographic evidence of stones in the common bile duct.Interventions: Minicholecystectomy followed by a primary common bile duct closure or common bile duct closure over a T tube.Main Outcome Measures: Successful clinical result of primary common bile duct closure following minicholecystectomy.Results: Eighty-nine primary closures of the common bile duct between 1983 and 1986, resulting in successful clinical outcomes.
Conclusion:Primary closure of the common bile duct followingminicholecystectomyissafe,effective,andinexpensive.
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