PMID: 9419307Jan 7, 1998Paper

Common bile duct T-tubes. A caveat and recommendations for management

Surgical Endoscopy
L K JacobsJ M Sackier

Abstract

Operations on the common bile duct can result in severe long-term consequences. To prevent some of these complications, it is common practice to drain the biliary tree with a T-tube. The T-tube is usually removed 2 weeks after it was placed. There have been numerous reports of bile leak following T-tube removal in the literature. These leaks can result in bile ascites, biloma, or bile peritonitis. Control of bile leaks can be accomplished in a number of ways, including endoscopically or radiologically placed stents or drains and radiologic techniques to drain the fluid collections. We describe a novel technique that can be utilized at the time of T-tube removal that will allow immediate control of the bile leak and prevent the complications of bile accumulation within the peritoneal cavity. We have performed fluoroscopic removal of T-tubes on two patients and found no complications with the technique. We have successfully visualized the T-tube tract in both patients. The T-tube tract can be visualized at the time of T-tube removal in an effort to prevent the complications of tract disruption and subsequent bile leak.

Citations

Nov 7, 2008·Journal of Hepato-biliary-pancreatic Surgery·Henrik Blegvad LaursenFrank Viborg Mortensen
Jun 20, 2002·ANZ Journal of Surgery·Vanessa L WillsJohn O Jorgensen
Feb 7, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Pablo Parra-MembrivesVerónica Pino-Díaz
Mar 17, 2004·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Adnan SaidDennis G Maki
Jul 9, 2005·Journal of Vascular and Interventional Radiology : JVIR·Andrea OjangurenAlban Denys
Jan 6, 2016·The Indian Journal of Surgery·Ehsan SoltaniSamira Mozaffari
Sep 5, 2012·Annals of the Royal College of Surgeons of England·P R MiddletonA Humphrey
Sep 5, 2012·Annals of the Royal College of Surgeons of England·J Granville-Chapman, D S Elliott
Sep 5, 2012·Annals of the Royal College of Surgeons of England·A Cheung
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Sep 5, 2012·Annals of the Royal College of Surgeons of England·M WangS Huang
Apr 28, 2012·Journal of Visceral Surgery·S DaldoulA Zaouche

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