Primary Closure Versus T-tube Drainage After Open Choledochotomy
نویسندگان
چکیده
منابع مشابه
Choledochorraphy (primary repair) versus t-tube drainage after open choledochotomy.
BACKGROUND T-tube drainage used to be standard practice after surgical choledochotomy, but there is now a tendency in some canters to close the common bile duct primarily. This study was designed to compare the clinical results of primary closure with T-tube drainage after open choledocotomy and assess the safety of primary closure for future application. METHODS This study was conducted at s...
متن کاملHow to close open choledochotomy: primary closure, primary closurewith T-tube drainage, or choledochoduodenostomy?
BACKGROUND/AIM Although common bile duct stones are generally treated endoscopically, surgery is required if endoscopic removal is impossible. The aim of this study was to compare the surgical options in such patients. MATERIALS AND METHODS A total of 282 patients with common bile duct stones underwent open choledochotomy; primary closure was applied in 48 (17.0%), primary closure with T-tube...
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T-tube choledochotomy has been an established practice in common bile duct exploration for many years. Although bile leaks, biliary peritonitis, and long-term postoperative strictures have been reported and are directly associated with the placement or removal of the T-tube, the severity of these complications may often be underestimated by surgeons. We present the case of a 31-year-old male pa...
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Several studies have shown the safety and feasibility of laparoscopic common bile duct exploration (LCBDE) as a minimally invasive treatment options for choledocholithiasis. Use of T-tube or biliary stent drainage tube placement after laparoscopic choledochotomy for common bile duct (CBD) stones is still under debate. This study tried to confirm the safety of spontaneously removable biliary ste...
متن کاملComparison of Primary Closure and T-tube Drainage following Laparoscopic CBD Exploration
Purpose: Laparoscopic common bile duct exploration (LCBDE) has traditionally been accompanied by T-tube drainage. However, patients must carry it for several weeks and often suffer problems related to the T-tube. So, primary closure of CBD has been proposed as a safe and effective alternative to T-tube placement after laparoscopic choledochotomy. The aim of this study was to compare primary clo...
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ژورنال
عنوان ژورنال: Asian Journal of Surgery
سال: 2009
ISSN: 1015-9584
DOI: 10.1016/s1015-9584(09)60004-x