scholarly journals Slip of the T tube within the common bile duct: A little known complication of the T tube drainage

2005 ◽  
Vol 133 (3-4) ◽  
pp. 138-141
Author(s):  
Radoje Colovic ◽  
Vladimir Radak ◽  
Nikica Grubor ◽  
Slavko Matic
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Tube Drainage ◽  
X Ray ◽  
Abdominal Drain ◽  
T Tube ◽  
Tube Position ◽  
Bile Drainage ◽  
The Common ◽  
The Right

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.

T-tube drainage of the common bile duct choleperitoneum: Etiology and management

2012 ◽  
Vol 149 (3) ◽  
pp. e172-e178 ◽  
Author(s):  
S. Daldoul ◽  
A. Moussi ◽  
A. Zaouche
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Tube Drainage ◽  
T Tube ◽  
The Common

scholarly journals The effect of the laparoscopic primary suture of the common bile duct in elderly patients: a retrospective study

2019 ◽  
Author(s):  
Jinheng Liu ◽  
Yanting Wang ◽  
Xubao Liu ◽  
Sineng Yin
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Elderly Patients ◽  
Primary Suture ◽  
Tube Drainage ◽  
T Tube ◽  
Laparoscopic Choledochotomy ◽  
Extubation Time ◽  
Suture Group ◽  
The Common

Abstract Background Traditionally, Surgical treatment strategies for elderly patients diagnosed with choledocholithiasis combined with cholecystolithiasis include laparoscopic choledocholithotomy, cholecystectomy, and T-tube drainage. However, T-tube drainage in the biliary tract can still cause pain and other complications. This study was designed to compare the primary closure of choledochotomy and the use of T-tube after laparoscopic choledochotomy to determine whether primary suture can be as feasible and safe as suture with T-tube drainage in elderly patients. Methods From January 2017 to January 2018, 85 patients were selected to undergo laparoscopic surgery. They were divided into two groups: primary suture group (n=56) and T tube group (n=29). Preoperative data, intraoperative index, postoperative complications were recorded. Results There were no differences in preoperative data in both groups. Compared with the T-tube group, the postoperative total drainage volume on the first day and patients of residual stones were fewer, and all drainage tube extubation time was shorter in the primary suture group. And there were statistically significant differences in postoperative TBIL between the two groups. There were no pressure sores, hypostatic pneumonia, deep vein thrombosis, serious complications of heart, lung and brain and even death in both groups. Conclusion Only if accurate preoperative risk assessment and strict treatment of basic diseases in elderly patients, intraoperative fine suture of the common bile duct, primary suture in elderly patients are feasible, safe, and valid after laparoscopic choledochotomy for verification of ductal clearance.

PRIMARY DUCT CLOSURE VERSUS T-TUBE DRAINAGE FOLLOWING EXPLORATION OF THE COMMON BILE DUCT

1994 ◽  
Vol 64 (12) ◽  
pp. 823-826 ◽  
Author(s):  
J. A. R. Williams ◽  
P. J. Treacy ◽  
P. Sidey ◽  
C. S. Worthley ◽  
N. C. W. Townsend ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Tube Drainage ◽  
T Tube ◽  
The Common

scholarly journals Straight Tube Vs. T-Tube Drainage of the Common Bile Duct*

1962 ◽  
Vol 155 (6) ◽  
pp. 894-901 ◽  
Author(s):  
Robert J. Massie ◽  
Glenn L. Christie
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Straight Tube ◽  
Tube Drainage ◽  
T Tube ◽  
The Common

Straight Tube Vs. T-Tube Drainage of the Common Bile Duct*

1962 ◽  
Vol 155 (6) ◽  
pp. 894-901
Author(s):  
Robert J. Massie ◽  
Glenn L. Christie
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Straight Tube ◽  
Tube Drainage ◽  
T Tube ◽  
The Common

scholarly journals The effect of the laparoscopic primary suture of the common bile duct in elderly patients: a retrospective study

2019 ◽  
Author(s):  
Jinheng Liu ◽  
Yanting Wang ◽  
Xubao Liu ◽  
Sineng Yin
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Elderly Patients ◽  
Drainage Tube ◽  
Primary Suture ◽  
Tube Drainage ◽  
T Tube ◽  
Suture Group ◽  
Indwelling Time ◽  
The Common

Abstract Background The surgery treatment strategies for elderly patients who were diagnosed as choledocholithiasis combined with cholecystolithiasis include laparoscopic choledocholithotomy with cholecystectomy and T-tube drainage or endoscopic sphincterotomy with nasobiliary drainage alone for those selected elderly patients without symptoms related to the gallbladder. However, long-term T-tube drainage will cause pain and life inconvenient. This study was designed to retrospective analysis the primary suture of the common bile duct and the T-tube drainage after laparoscopic choledochotomy to study the merits and demerits between primary suture and T-tube drainage in elderly patients. Methods Eighty-five patients were screened from January 2017 to January 2018. All patients were performed laparoscopic surgery, and an intraperitoneal drainage tube was left in all patients. Fifty-six cases were the primary suture group (n=56). Twenty-nine cases were the T-tube group (n=29). Preoperative baseline characteristics, intraoperative and postoperative characteristics of the two groups were compared. Results There were no differences in baseline characteristics in both groups (P＞0.05). Compared with the T-tube group, the postoperative total drainage volume on the first day [15(15, 58.75) vs 292(185, 360)] and patients of residual stones (0/56 vs 5/29) were fewer, and all drainage tube indwelling time [6(5,7) vs 84(82,86.5)] was shorter in the primary suture group(P﹤0.05). And there were statistically significant differences in postoperative total drainage volume on the first day [15(15, 58.75) vs 292(185, 360)], all drainage tube indwelling time [6(5, 7) vs 84(82, 86.5)], postoperative total bilirubin [22.15(13.475, 33) vs 31.3(20.6,57.3)] and residual stones (0/56 vs 5/29) between the two groups (P<0.05). There were no statistically significant differences in the other intraoperative and postoperative characteristics(P＞0.05). There were no pressure sores, postoperative pneumonia, deep vein thrombosis, serious complications of heart, lung and brain and even death in both groups. Conclusions With accurate preoperative risk assessment and strict treatment of basic diseases for elderly patients, if the stones in the common bile duct were cleared in laparoscopic surgery, the primary suture in elderly patients is feasible, safe, and valid.

scholarly journals Spontaneous Rupture of a Nonparasitic Hepatic Cyst Associated with Peritonitis

1991 ◽  
Vol 5 (5) ◽  
pp. 171-173 ◽  
Author(s):  
Patricia Shipley ◽  
Barry Baylis ◽  
Noel Hershfield ◽  
Robert Lui ◽  
Norman CW Wong
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Spontaneous Rupture ◽  
Hepatic Cyst ◽  
Tube Placement ◽  
First Report ◽  
T Tube ◽  
The Common ◽  
The Right

The first report of a nonparnsitic cyst complicated by rupture and peritonitis is given. A 63-year-old female found to have a nonparasitic hepatic cyst was discharged from hospital when her symptoms of sharp intermittent pains in the right upper quadrant resolved spontaneously. Hours later, she was re-admitted with rupture and peritonitis. After hepatic cystojejunostomy (Roux-en-y) and T-tube placement in the common bile duct, the patient remains asymptomatic two years later.

scholarly journals Tuberculosis of the Common Bile Duct

HPB Surgery ◽  
1991 ◽  
Vol 3 (3) ◽  
pp. 205-208 ◽  
Author(s):  
Samrerng Ratanarapee ◽  
Arun Pausawasdi
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Biliary Tree ◽  
Complete Recovery ◽  
Tuberculous Lymphadenitis ◽  
Tube Drainage ◽  
T Tube ◽  
The Common ◽  
Common Combination

The intrahepatic biliary tree can occasionally be infected by Mycobacteriurn tuberculosis, but tuberculosis of the common bile duct has not previously been reported. A 38-year-old man with obstructive jaundice, who was originally thought to have cholangiocarcinoma associated with opisthorchiasis (a common combination in Thailand), was finally proved to have tuberculosis of the common bile duct with adjacent tuberculous lymphadenitis. Following T-tube drainage and antitubercular therapy, he made a complete recovery. The importance of a tissue diagnosis in all cases of obstructive jaundice is emphasized to avoid missing rare but curable diseases.

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