Biliary drainage tube evaluation after common bile duct exploration for choledocholithiasis

We studied the postoperative evaluation of transcystic duct tube drainage (C-tube), T-tube drainage (T-tube), and retrograde transhepatic biliary drainage after common bile duct exploration for patients with choledocholithiasis. We analyzed the preoperative clinical features of patients, intraoperat...

Full description

Saved in:
Bibliographic Details
Published inHepato-gastroenterology Vol. 50; no. 50; p. 315
Main Authors Hotta, Tsukasa, Taniguchi, Katsutoshi, Kobayashi, Yasuhito, Johata, Kiyofumi, Sahara, Masaki, Naka, Teiji, Maeda, Tsunehiro, Tanimura, Hiroshi
Format Journal Article
LanguageEnglish
Published Greece 01.03.2003
Subjects
Common Bile Duct - surgery
Drainage - methods
Female
Gallstones - physiopathology
Gallstones - surgery
Humans
Length of Stay
Liver Function Tests
Male
Middle Aged
Postoperative Complications
Online AccessGet more information

Cover

More Information
Summary:We studied the postoperative evaluation of transcystic duct tube drainage (C-tube), T-tube drainage (T-tube), and retrograde transhepatic biliary drainage after common bile duct exploration for patients with choledocholithiasis. We analyzed the preoperative clinical features of patients, intraoperative findings, postoperative status and management, daily output of bile, liver function, postoperative infections, and postoperative complications for patients who underwent common bile duct exploration including 16 C-tube, 17 T-tube, and 8 retrograde transhepatic biliary drainage cases. There were no significant differences in the preoperative clinical features, intraoperative findings, or the daily output of bile from the tube. The removal day of the biliary drainage tube and postoperative hospital stay were shorter in the C-tube group than in the T-tube and retrograde transhepatic biliary drainage groups. Aspartate amino-transferase level and body temperature in the C-tube group on day 7 were lower than those in the T-tube group, and the total bilirubin level in the C-tube group on day 14 was lower than in the T-tube and retrograde transhepatic biliary drainage groups. Moreover, postoperative complications occurred significantly less frequently in the C-tube group (25.0%) than in the T-tube group (76.5%). C-tube drainage is thought to be most useful after common bile duct exploration for patients with choledocholithiasis.
ISSN:0172-6390