TY - JOUR
T1 - Choledochotomy for biliary lithiasis
T2 - Is routine T-tube drainage necessary? A prospective controlled trail
AU - Sheen-Chen, S. M.
AU - Chou, F. F.
PY - 1990/1/1
Y1 - 1990/1/1
N2 - Thirty patients with stones in the common bile duct were allocated alternately to have choledocholithotomy carried out with either T-tube drainage or with primary closure. Choledochoscopy was done during every operation, and the patency of the common bile duct tested by perfusion. There were no operative deaths. The length of operation was shorter with primary closure (p < 0.01) but there were no differences between the groups in operative blood loss, days in hospital after operation, postoperative morbidity and mortality, and final outcome at follow up. There was no change in the incidence of postoperative bacteraemia, the number of adverse reactions, and the incidence of bile peritonitis after removal of the T-tube. Patients who had T-tubes reported greater discomfort and inconvenience than those withou, and their treatment cost more. We conclude that primary closure of the common bile duct is a reasonable alternative to T-tube drainage in selected cases.
AB - Thirty patients with stones in the common bile duct were allocated alternately to have choledocholithotomy carried out with either T-tube drainage or with primary closure. Choledochoscopy was done during every operation, and the patency of the common bile duct tested by perfusion. There were no operative deaths. The length of operation was shorter with primary closure (p < 0.01) but there were no differences between the groups in operative blood loss, days in hospital after operation, postoperative morbidity and mortality, and final outcome at follow up. There was no change in the incidence of postoperative bacteraemia, the number of adverse reactions, and the incidence of bile peritonitis after removal of the T-tube. Patients who had T-tubes reported greater discomfort and inconvenience than those withou, and their treatment cost more. We conclude that primary closure of the common bile duct is a reasonable alternative to T-tube drainage in selected cases.
KW - choledochoscopy
KW - choledochotomy
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M3 - Article
C2 - 2190441
AN - SCOPUS:0025274737
SN - 0001-5482
VL - 156
SP - 387
EP - 390
JO - Acta Chirurgica Scandinavica
JF - Acta Chirurgica Scandinavica
IS - 5
ER -