Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이현국 | * |
dc.contributor.author | 민석기 | * |
dc.date.accessioned | 2016-08-27T02:08:06Z | - |
dc.date.available | 2016-08-27T02:08:06Z | - |
dc.date.issued | 2009 | * |
dc.identifier.issn | 2233-7903 | * |
dc.identifier.other | OAK-6143 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/216417 | - |
dc.description.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) | * |
dc.language | Korean | * |
dc.publisher | KOREAN SURGICAL SOCIETY | * |
dc.subject | Common bile duct stones | * |
dc.subject | Laparoscopic common bile duct exploration | * |
dc.subject | Choledochotomy | * |
dc.subject | Primary Closure | * |
dc.title | Comparison of Primary Closure and T-tube Drainage following Laparoscopic CBD Exploration | * |
dc.type | Article | * |
dc.relation.issue | 6 | * |
dc.relation.volume | 77 | * |
dc.relation.index | SCIE | * |
dc.relation.startpage | 399 | * |
dc.relation.lastpage | 403 | * |
dc.relation.journaltitle | JOURNAL OF THE KOREAN SURGICAL SOCIETY | * |
dc.identifier.doi | 10.4174/jkss.2009.77.6.399 | * |
dc.identifier.wosid | WOS:000272892900005 | * |
dc.author.google | Noh, Kyoung Tae | * |
dc.author.google | Min, Seog Ki | * |
dc.author.google | Lee, Hyeon Kook | * |
dc.contributor.scopusid | 이현국(8861888600) | * |
dc.contributor.scopusid | 민석기(8938656500) | * |
dc.date.modifydate | 20240118164806 | * |