View : 20 Download: 0

Comparison of Primary Closure and T-tube Drainage following Laparoscopic CBD Exploration

Title
Comparison of Primary Closure and T-tube Drainage following Laparoscopic CBD Exploration
Authors
Noh, Kyoung TaeMin, Seog KiLee, Hyeon Kook
Ewha Authors
이현국민석기
SCOPUS Author ID
이현국scopus; 민석기scopus
Issue Date
2009
Journal Title
JOURNAL OF THE KOREAN SURGICAL SOCIETY
ISSN
2233-7903JCR Link
Citation
vol. 77, no. 6, pp. 399 - 403
Keywords
Common bile duct stonesLaparoscopic common bile duct explorationCholedochotomyPrimary Closure
Publisher
KOREAN SURGICAL SOCIETY
Indexed
SCIE WOS
Abstract
Purpose: Laparoscopic common bile duct exploration (LCBDE) has traditionally been accompanied by T-tube drainage. However, patients must carry it for several weeks and often suffer problems related to the T-tube. So, primary Closure of CBD has been proposed as a safe and effective alternative to T-tube placement after laparoscopic choledochotomy. The aim of this study was to compare primary closure versus T-tube drainage after LCBDE. Methods: Between January 2000 and December 2005, 63 patients suffering from choledocholithiasis underwent LCBDE successfully through choledochotomy. Those patients were devided into two groups; primary closure group (group P) and T-tube placement group (group T). Patients' clinical characeristics, postoperative outcome and follow up data were compared between the two groups. Results: Of 63 patients, 30 (48.6%) had primary closure of the choledochotomy and 33 (52.4%) had T-tube drainage. Stone clearance rate was 100% in both groups. The mean operation time and the incidence of postoperative complications had no significant difference between the two groups. The mean postoperative hospital stay (8.8 vs. 16.4 days, P<0.001) was significantly shorter in the P group compared to the T group. Each group had one recurrent CBD stone. None of both groups showed symptoms or signs associated with CBD stricture during the follow up period. Conclusion: Primary closure of choledochotomy after LCBDE can prevent the disadvantages associated with T-tube and lead to a shorter hospital stay. Therefore, primary closure should be considered as a safe alternative method after LCBDE. (J Korean Surg Soc 2009;77:399-403)
DOI
10.4174/jkss.2009.77.6.399
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE