A randomized comparison of primary closure and T-tube drainage of the common bile duct after laparoscopic choledochotomy.

Surgical Endoscopy
Zhang LeidaHe Yu

Abstract

Traditionally, the common bile duct (CBD) has been closed with T-tube drainage after laparoscopic choledochotomy and removal of CBD stones. However, insertion of the T-tube is related to some potential postoperative complications, and patients must carry the T-tube for several weeks before its removal. Primary closure of the CBD without drainage has been proposed as a safe alternative to T-tube placement after laparoscopic choledochotomy. This randomized study aimed to compare the postoperative course and final outcome between the two methods applied after LCBDE. Between January 2000 and January 2004, 80 patients treated with laparoscopic choledochotomy for CBD stones were randomly assigned to primary duct closure (n = 40) or T-tube drainage (n = 40). The primary end points were morbidity, operative time, postoperative stay, hospital expenses, and time until return to work. There were no differences in the demographic characteristics or clinical presentations between the two groups. In the primary closure group, the postoperative stay (5.2 +/- 2.2 vs 8.3 +/- 3.6 days) and the time until return to work (12.6 +/- 5.1 vs 20.4 +/- 13.2 days) were significantly shorter, the hospital expenses (8,638 +/- 2,946 vs 12,531 +/- 4,352 yuan...Continue Reading

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Citations

Jun 29, 2010·Langenbeck's Archives of Surgery·Qian D ZhuQi Y Zhang
Jun 11, 2010·Surgical Endoscopy·Jagdish ChanderVinod Kumar Ramteke
Feb 7, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Pablo Parra-MembrivesVerónica Pino-Díaz
Jul 23, 2011·World Journal of Surgery·Chun-Chih ChenGuang-Hui Zhang
Apr 28, 2012·Journal of Visceral Surgery·S DaldoulA Zaouche
Aug 13, 2009·Gastroenterology Research and Practice·Abolfazl ShojaiefardArianeb Mehrabi
Nov 3, 2010·ANZ Journal of Surgery·Michael D Kelly
Jul 24, 2015·Surgical Endoscopy·Nuria Estellés VidaganyFrancisco Blanes Masson
Aug 15, 2009·Magyar sebészet·László Harsányi
Oct 4, 2014·The Journal of Surgical Research·Xihua YangSteven C Cunningham
May 28, 2016·World Journal of Gastrointestinal Surgery·Nikhil Gupta
Jan 15, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Cyril AudouyJean P Bail
Mar 24, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Huang HongjunWu Baoqiang
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Apr 10, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hee Jung YiHyeon Kook Lee
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Mar 17, 2018·BMC Gastroenterology·Tatenda C NzenzaTrevor McQuillan
May 1, 2013·Korean Journal of Hepato-biliary-pancreatic Surgery·Whanbong Lee, Jungnam Kwon

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