Primary closure of the common bile duct in the treatment of choledocholithiasis

Abstract

Surgical institutions equipped to apply endoscopic retrograde cholangiopancreatography with papillotomy do not treat non-complicated choledocholithiasis in a surgical way any more. However, those institutions which have not yet started to perform cholangiopancreatography apply surgical treatment of choledocholithiasis, and therefore, choledochography is still an option to end the exploration of choledochus with or without the concrement removal. Since cholangiopancreatography has not become a routine treatment in our institution, we have tried to determine the role of the primary closure of the choledochus in the treatment of choledocholithiasis as well as the indications and contraindications for its application.