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dc.contributor.author이현국*
dc.contributor.author민석기*
dc.date.accessioned2016-08-27T02:08:06Z-
dc.date.available2016-08-27T02:08:06Z-
dc.date.issued2009*
dc.identifier.issn2233-7903*
dc.identifier.otherOAK-6143*
dc.identifier.urihttps://dspace.ewha.ac.kr/handle/2015.oak/216417-
dc.description.abstractPurpose: 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.languageKorean*
dc.publisherKOREAN SURGICAL SOCIETY*
dc.subjectCommon bile duct stones*
dc.subjectLaparoscopic common bile duct exploration*
dc.subjectCholedochotomy*
dc.subjectPrimary Closure*
dc.titleComparison of Primary Closure and T-tube Drainage following Laparoscopic CBD Exploration*
dc.typeArticle*
dc.relation.issue6*
dc.relation.volume77*
dc.relation.indexSCIE*
dc.relation.startpage399*
dc.relation.lastpage403*
dc.relation.journaltitleJOURNAL OF THE KOREAN SURGICAL SOCIETY*
dc.identifier.doi10.4174/jkss.2009.77.6.399*
dc.identifier.wosidWOS:000272892900005*
dc.author.googleNoh, Kyoung Tae*
dc.author.googleMin, Seog Ki*
dc.author.googleLee, Hyeon Kook*
dc.contributor.scopusid이현국(8861888600)*
dc.contributor.scopusid민석기(8938656500)*
dc.date.modifydate20240118164806*
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의과대학 > 의학과 > Journal papers
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