scholarly journals Biliary Drainage catheter insertion via T-tube for intractable biliary fistula from friable common bile duct

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e491
Author(s):  
Y.H. Hur ◽  
H.J. Kim ◽  
E.K. Park ◽  
Y.S. Koh ◽  
C.K. Cho ◽  
...  
2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Huy Toàn Nguyễn ◽  

Tóm tắt Đặt vấn đề: Đánh giá kết quả phẫu thuật nội soi điều trị sỏi đường mật. Phương pháp nghiên cứu: Nghiên cứu hồi cứu mô tả trên 203 người bệnh, được chẩn đoán sỏi đường mật chính, được phẫu thuật nội soi lấy sỏi tại Bệnh viện Hữu nghị Đa khoa Nghệ An từ 01/01/2014 đến 01/06/2019. Kết quả: Tổng số 203 người bệnh với 74 nam (36,5%), 129 nữ (63,5%); độ tuổi trung bình 63,62 ± 17,7 (17 - 94) tuổi. Phẫu thuật mở ống mật chủ lấy sỏi, dẫn lưu Kehr 43,8%; mở ống mật chủ + dẫn lưu Kehr + cắt túi mật 44,8%; mở ống mật chủ + khâu kín ống mật chủ 3,9%; chuyển mổ mở 7,4%. Thời gian phẫu thuật 85,2 ± 15,7 phút (64 - 156 phút), thời gian hậu phẫu 5,7 ± 1,07 ngày. Biến chứng chung sau phẫu thuật là 5,5%. Kết luận: Phẫu thuật mở ống mật chủ (OMC) nội soi điều trị sỏi đường mật an toàn, hiệu quả. Abstract Introduction: Evaluation of the results of laparoscopic treatment for common bile duct stones. Materials and Methods: Retrospective descriptive study of 203 patients diagnosed the common bile duct stones, underwent laparoscopic surgery from January 2014 to June 2019 in Nghe An Friendship General Hospital. Results: There were total 203 patients including 74 men (36,5%), 129 women (63,5%); mean age was 63,62 ± 17,7 (17 - 94). Biliary drainage by T tube after choledochotomy was in 43,8%; Biliary drainage with T tube after choledochotomy associated with cholecystectomy was in 44,8%; Choledochotomy without drainage was in 3,9%. The convert to laparotomy was (7,4%). The operative time was 85,2 ± 15,7 minutes (64-156 minutes). Postoperative length stay was 5,7 ± 1,07 days. The morbidity rate was 5,5%. Conclusion: Choledochotomy by laparoscopic surgery for common bile duct stones was feasible and effective. Keywords: Laparoscopic surgery, common bile duct stones, gallbladder stones.


2021 ◽  
Vol 07 (03) ◽  
pp. e251-e254
Author(s):  
Deepak Rajput ◽  
Itish Patnaik ◽  
Sruthi Shasheendran ◽  
Beeram K. Prasanna Kumar ◽  
Amit Gupta

AbstractCommon bile duct (CBD) exploration by surgical method—open or laparoscopic, traditionally involved using a T tube to take care of postoperative intraluminal pressure and edema. The complications of T tube include bile leak after removal, formation of biliary fistula, excoriation of the skin, dehydration, saline depletion, retained T tube fragment, CBD obstruction, cholangitis, pancreatitis, and duodenal erosion. Here, we report a case of retained T tube fragment after an attempted removal in an operated case of choledocholithiasis, which was managed by endoscopic retrograde cholangiopancreatography and balloon catheter removal of the remnant.


1997 ◽  
Vol 22 (2) ◽  
pp. 135-139 ◽  
Author(s):  
M. A. Serra ◽  
A. Caballero ◽  
J. A. Del Olmo ◽  
L. Aparisi ◽  
M. S. Gilabert ◽  
...  
Keyword(s):  
T Tube ◽  

2001 ◽  
Vol 344 (6) ◽  
pp. 418-423 ◽  
Author(s):  
Pascal Hammel ◽  
Anne Couvelard ◽  
Dermot O'Toole ◽  
Anne Ratouis ◽  
Alain Sauvanet ◽  
...  

2014 ◽  
Vol 18 (4) ◽  
pp. e2014.00277 ◽  
Author(s):  
Agustin Dietrich ◽  
Fernando Alvarez ◽  
Nicolas Resio ◽  
Oscar Mazza ◽  
Eduardo de Santibañes ◽  
...  

2005 ◽  
Vol 133 (3-4) ◽  
pp. 138-141
Author(s):  
Radoje Colovic ◽  
Vladimir Radak ◽  
Nikica Grubor ◽  
Slavko Matic

Complications related to the T tube drainage of the common bile duct are not uncommon. Some, like dislocations of the T tube out of the common bile duct, could be very serious, particularly if developed during the first few days after surgery, when the abdominal drain in the subhepatic space had been already removed. Then, an emergency reoperation might be necessary. The slip of the T tube upwards or downwards inside the common bile duct is not so rare. Fortunately, it is less dangerous and can usually be resolved without reoperation. It takes place several days after surgery, followed by the right subcostal pain, occasionally with temperature, rise of the bilirubin and with decrease or complete cessation of the bile drainage through the T tube. The diagnosis can be made only on the basis of T tube cholangiography. The re-establishment of the proper T tube position must be done under X-ray visualization. Seven cases of the T tube slip within the common bile duct, its clinical presentation, diagnosis and method of repositioning were presented. Possible mechanism of complication was described. As far as we know, the complications have not been described by other authors.


2015 ◽  
Vol 81 (5) ◽  
pp. AB533
Author(s):  
Anthony Y. Teoh ◽  
Takuji Iwashita ◽  
Tsuyoshi Mukai ◽  
Vinay K. Dhir ◽  
Amit P. Maydeo ◽  
...  

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