Further Considerations in the Evaluation of Primary Closure of the Common Bile Duct Following Its Exploration

Herrington, J. Lynwood; Dawson, Royce E.; Edwards, Leonard W.

doi:10.1097/00000658-195702000-00002

Cited by 15 publications

(12 citation statements)

References 4 publications

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“…Residual calculi were not found in any of the stent placement cases as against one case (5%) of T-tube drainage detected on post-operative T-tube cholangiography. The incidence of residual stones detected on T-tube cholangiography in our study was comparable to studies by Way et al (7%), Sawyers et al (1.6%), Gillatt et al (5%), Herrington et al (5.5%), Chande et al (4.7%) [4,10,14,30] T-tube removal lead to minor reactions in the form of pain and discomfort in most of the cases in our study. Biliary peritonitis at this time was reported in one case.…”

Section: Discussionsupporting

confidence: 90%

A Comparative Study of T-tube versus Ante grade Stenting of CBD after Open CBD Exploration for Choledocholithiasis

Akram¹

2018

jmscr

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Background: CBD stones once confirmed have to be extracted in order to prevent the complications related to them. Conventionally T-tube is used for decompression of CBD after open choledocholithotomy which has its own share of complications Aim: To compare clinical outcome in patients of choledocholithiasis undergoing CBD exploration using either a biliary stent or T-tube as a decompression procedure. Design and Place:This was a prospective randomized comparative study where 40 patients after being admitted in Post Graduate Department of Surgery Government Medical College, Jammu over a period of one year w.e.f. November 2015 to October 2016 with diagnosis of choledocholithiasis were divided into two groups (Group A and Group B), each having 20 patients. Method: 40 patients selected in study were subjected to open CBD exploration for choledocholithiasis. Out of these,20 patients in Group A underwent primary closure of the choledochotomy over a biliary stent after open CBD exploration and 20 patients in Group B underwent closure of choledochotomy over a T-tube after open CBD exploration. Result: Primary closure of the CBD over biliary stent is a safe alternative to T-tube drainage with benefits of shorter operative time, hospital stay and lesser morbidity. Conclusion: Closure of CBD over endobiliary stent is a modality for management of CBD stones with proven safety and good results.

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Section: Discussionsupporting

confidence: 90%

A Comparative Study of T-tube versus Ante grade Stenting of CBD after Open CBD Exploration for Choledocholithiasis

Akram¹

2018

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“…Many authors have successfully promoted primary closure of the common bile duct (CBD) without intraductal drainage with no significant serious morbidity [12][13][14][15][16][17][18][19][20][21] Others have used alternative methods but maintained the principle of biliary drainage by using retrograde transhepatic biliary drainage (RTBD) [22][23][24] or transcystic tube drainage(C tube) [22] We have previously reported the advantages of the use of endonasobiliary (ENBD) tubes as a means of postoperative CBD drainage [25] and this technique has also been subsequently applied to laparoscopic Choledocholithotomy [26]. In the present study we compared the results of intraductal drainage through ENBD tubes with the standard T tube, a comparison which has not been reported in literature.…”

Section: Introductionmentioning

confidence: 99%

Closure of the Common Duct -Endonasobiliary Drainage Tubes vs. T Tube: A Comparative Study

et al. 2010

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“…Later closures were done using only a Penrose drain in the hepatorenal recess. Mayo, 3 Kirschner, 4 Mirrizzi, 5 Edwards and Herrington, 6 and Herrington et al 7 A, The initial stitch approximating only muscularis and mucosa is positioned at the proximal apex. B, The tail of the stitch is held and not tied.…”

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confidence: 99%

Primary Common Bile Duct Closure

Seale¹

1999

Arch Surg

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To show that primary closure of the common bile duct following minicholecystectomy is safe and effective.Design: Eighty-nine primary common bile duct closures done over 13 years.Setting: General community hospital.Patients: Patients with cholangiographic evidence of stones in the common bile duct.Interventions: Minicholecystectomy followed by a primary common bile duct closure or common bile duct closure over a T tube.Main Outcome Measures: Successful clinical result of primary common bile duct closure following minicholecystectomy.Results: Eighty-nine primary closures of the common bile duct between 1983 and 1986, resulting in successful clinical outcomes. Conclusion:Primary closure of the common bile duct followingminicholecystectomyissafe,effective,andinexpensive.

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Further Considerations in the Evaluation of Primary Closure of the Common Bile Duct Following Its Exploration

Cited by 15 publications

References 4 publications

A Comparative Study of T-tube versus Ante grade Stenting of CBD after Open CBD Exploration for Choledocholithiasis

A Comparative Study of T-tube versus Ante grade Stenting of CBD after Open CBD Exploration for Choledocholithiasis

Closure of the Common Duct -Endonasobiliary Drainage Tubes vs. T Tube: A Comparative Study

Primary Common Bile Duct Closure

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