[Results of choledoco-duodenostomy for common bile duct XXXX ].

@entity1 @entity254 @entity260 @entity255 @entity2679 @entity850 @entity204 @entity65 @entity9279
One hundred and sixty-seven choledoco-duodenostomies for @entity9279 of the common bile duct (CBD) were performed. The mean age of the @entity1 was 74 +/- 1 years. Sixty p. 100 of the @entity1 presented with at least one operative risk factor, usually related to their general condition. An @entity254 of at least 20 mm in diameter was possible as the diameter of the CBC was always larger than 10 mm. @entity260 (within one month) were observed in 29 cases (17 p. 100). In 14 cases (8 p. 100), these complications were directly related to the operative procedure and, in 15 cases (9 p. 100), @entity65 occurred. Operative mortality was 4 p. 100 (7 cases); in 2 cases, @entity204 was directly related to the operative procedure, and in 5 cases, @entity204 was not directly due to surgery. Operative complications were significantly higher in the case of emergency procedures, impaction of the CBD by multiple stones, and associated acute @entity2679 . One hundred and thirty-four of the 160 survivors (84 p. 100) have been followed for a mean duration of 5 years (63 +/- 7 months); 115 (86 p. 100) have remained asymptomatic. Eleven @entity1 had non specific findings; 8 (6 p. 100) had @entity255 , half of them having suffered from only one episode. The first (or only) episode occurred during the first postoperative year in 7 out of 8 @entity1 . No @entity255 developed after the second postoperative year in @entity1 still asymptomatic. No @entity850 was found in any of these cases. One case of stump syndrome was observed. These results suggest that choledocoduodenostomy is a reliable procedure for treatment of choledocolithiasis and related late complications are rare.
