Abstract

About 10%-18% patients02 undergoing Cholecystectomy for Cholecystectomy for cholelithiasis also require choledocholithotomy For choledocholithiasis. In Open cholecystectomy with choledocholithotomy common bile duct (CBD) clearance for residual stones saline Irrigation and saline flushing is required, which needs determination of superior efficacy in between. Aims: to evaluate the efficacy of saline irrigation and saline flushing in clearance of CBD from residual calculi. Settings and Design: A retrospectivestuy study conducted in a single centre retrieving data of 185 patients whose operations were carried out during the period between 2010 to 2022. Methods and Material: A total of 185 patients (N=185) were categorised into two Groups. Group-A): patients (n=123) stones of CBD were extracted by milking and Desjerdin instrumentation combining saline irrigation for CBD clearance of residual stone. Group-B). patients (n=62): Instead of irrigation, CBD Clearance were obtained by saline flushing. Statistical analysis used: In total of N=185 patients P-value is 0.05 at 95% confident limit, OR is than 1, Fisher exact test is 1,98, mann Whiteney U test is 1, t-test=0.7, Chisquare test is 1.77. Group-A): In total of 123 patients, mean age is 40.98 in Male and 39.08 in female, standard deviation is 7.04 in In male, OR is 049, P-value is 0.04. Group B): In total of 62 patients, mean age is 45’8 in Female and 48.5 in male, P-value is 0.02, OR is less Than 1~o. Results: In total N=185 patients clearance rate is achieved in 97.29%, Patients (n=5) had retained stone (2.70%), Group-A): In n=123 patients mean age is 40.98 in male and 39.08 in female, clearance rate is 96.74%, patients (n=4, female) had retained stone (3.25%). Group B): In n=62 patients mean age is 45.8 in female and 48.5 in male, clearance rate is 98.38%, patient (n=1, female) had a retained stone, who 23 calculi in CBD. Mortality and complications like Cholangitis, stricture are nil. Conclusions: Both saline irrigation and saline flushing are equally safe manoeuvre in CBD clearance of residual calculous but saline flushing demonstrated superior efficacy in CBD clearance of stones. Key Messages: It is a study in a single centre, to validate the precision this study may be undertaken in multiple centres as this technique is crucial manoeuvre in setup without special clearance tool.

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