Primary closure versus T-tube drainage after common bile duct exploration for choledocholithiasis

Zhu, Qian; Tao, Chong L.; Zhou, Mengtao; Yu, Zheng; Shi, Hong; Zhang, Qi Y.

doi:10.1007/s00423-010-0660-z

Cited by 53 publications

(32 citation statements)

References 28 publications

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“…Because these differences in defining outcome parameters (i.e., biliary complications) could lead to heterogeneity, we performed another synthesis of data regarding biliary complications without a combination of retained stones. The results suggested that primary closure has a significantly lower biliary complication rate, which is consistent with another metaanalysis [33] that evaluated the safety and effectiveness of primary closure for CBDE.…”

Section: Discussionsupporting

confidence: 89%

Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials

Yang

Dong

et al. 2012

Langenbecks Arch Surg

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Section: Discussionsupporting

confidence: 89%

Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials

Yang

Dong

et al. 2012

Langenbecks Arch Surg

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“…[14] However, this method is not only more difficult, but also prone to bile leakage, bleeding, and a series of complications. [14–16] T-tube drainage could lead to excessive bile and electrolyte loss, affect the patient's recovery, prolong hospital stay, and increase treatment costs. [17,18] The use of minimally invasive techniques could reduce surgical trauma, hasten recovery, and reduce length of hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Spontaneously removed biliary stent drainage versus T-tube drainage after laparoscopic common bile duct exploration

Dong²,

Ma³

et al. 2016

Medicine

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Several studies have shown the safety and feasibility of laparoscopic common bile duct exploration (LCBDE) as a minimally invasive treatment options for choledocholithiasis. Use of T-tube or biliary stent drainage tube placement after laparoscopic choledochotomy for common bile duct (CBD) stones is still under debate. This study tried to confirm the safety of spontaneously removable biliary stent in the distal CBD after LCBDE to allow choledochus primary closure. A total of 47 patients with choledocholithiasis underwent LCBDE with primary closure and internal drainage using a spontaneously removable biliary stent drainage tube (stent group, N = 22) or T-tube (T-tube group, N = 25). Operative parameters and outcomes are compared. Surgical time, intraoperative blood loss, length of hospital stay, drainage tube removal time, postoperative intestinal function recovery, and cost of treatment were all significantly lower in the stent group as compared to that in the T-tube group (P < 0.05 for all). Otherwise, Bile leakage between the two groups had no significant difference (P > 0.05). The biliary stent drainage tube was excreted spontaneously 4 to 14 days after surgery with the exception of one case, where endoscopic removal of biliary tube was required due to failure of its spontaneous discharge. LCBDE with primary closure and use of spontaneously removable biliary stent drainage showed advantage over the use of traditional T-tube drainage in patients with choledocholithiasis.

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“…To date four meta-analyses have been performed to compare the results of PDC with those of TTD [21,[29][30][31]. The most complete pooled analysis, performed by Yin et al [31], enrolled twelve studies (three randomized controlled trials and nine retrospective cohort studies) comparing PDC, with or without BD insertion, and TTD.…”

mentioning

confidence: 98%

Systematic review with meta-analysis of studies comparing primary duct closure and T-tube drainage after laparoscopic common bile duct exploration for choledocholithiasis

et al. 2015

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Primary closure versus T-tube drainage after common bile duct exploration for choledocholithiasis

Abstract: The primary closure might be as effective as T-tube drainage after choledochotomy in the prevention of the development of post-operative complications.

Cited by 53 publications

References 28 publications

Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials

Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials

Spontaneously removed biliary stent drainage versus T-tube drainage after laparoscopic common bile duct exploration

Systematic review with meta-analysis of studies comparing primary duct closure and T-tube drainage after laparoscopic common bile duct exploration for choledocholithiasis

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