지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.6
- 수록면
- 117 - 122 (6page)
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초록· 키워드
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Purpose: T-tube is a major procedure that prevents complication by biliary decompression, but which is accompanied by complications. Therefore, several procedures such as ENBD, PTBD, and antegrade biliary stent have been attempted, but with controversies as to which procedure is superior. Also, there are no standard procedures after laparoscopic CBD exploration. We performed this study to ascertain the most appropriate biliary drainage procedure after laparoscopic CBD exploration.
Methods: From March 2001 to December 2009, 121 patients who underwent Laparoscopic CBD exploration in Gunyang University were included for retrospective analysis. The patients were divided to 4 groups according to type of procedure, and we compared clinical parameters including age and gender, operation time, hospital stay, start of post-operative diet, and complications.
Results: There was no difference in age, gender, mean operation time, postoperative diet between the 4 groups. Hospital stay in the Stent group was shorter than T-tube group. There were 10 (7%) complications that occurred. Two 2 occurred in the T-tube, 3 in PTBD, and 5 in the Antegrade stent group. There were more complications in Stent group but no significant statistical difference. In 5 cases with remnant CBD stone, a total of 4 (3 PTBD, 1 Stent) was performed by endoscopic CBD stone removal. One T-tube case was removed easily by choledochoscopy through the T-tube. Three migrated and the impacted stents were removed by additional endoscopy. Perioperative biliary leakage (1) and peritonitis (1) post t-tube removal were resolved by conservative treatment
Conclusion: T-tube appears to be an appropriate method to patients who are suspected to have remnant CBD stones. Multiple procedures may be performed on a case by case basis such as performing PTBD first in a suspected cholangitis patient.
Methods: From March 2001 to December 2009, 121 patients who underwent Laparoscopic CBD exploration in Gunyang University were included for retrospective analysis. The patients were divided to 4 groups according to type of procedure, and we compared clinical parameters including age and gender, operation time, hospital stay, start of post-operative diet, and complications.
Results: There was no difference in age, gender, mean operation time, postoperative diet between the 4 groups. Hospital stay in the Stent group was shorter than T-tube group. There were 10 (7%) complications that occurred. Two 2 occurred in the T-tube, 3 in PTBD, and 5 in the Antegrade stent group. There were more complications in Stent group but no significant statistical difference. In 5 cases with remnant CBD stone, a total of 4 (3 PTBD, 1 Stent) was performed by endoscopic CBD stone removal. One T-tube case was removed easily by choledochoscopy through the T-tube. Three migrated and the impacted stents were removed by additional endoscopy. Perioperative biliary leakage (1) and peritonitis (1) post t-tube removal were resolved by conservative treatment
Conclusion: T-tube appears to be an appropriate method to patients who are suspected to have remnant CBD stones. Multiple procedures may be performed on a case by case basis such as performing PTBD first in a suspected cholangitis patient.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (12)
참고문헌 신청
1. [학술지(정기간행물)] - Zhu QD / 2011 / Primary closure versus T-tube drainage after common bile duct exploration for choledocholithiasis / Langenbecks Arch Surg 396 : 53 ~ 62
2. [학술지(정기간행물)] - Keighley MR / 1971 / Infective complications of choledochotomy with T-tube drainage / Br J Surg 58 : 764 ~ 768
3. [학술지(정기간행물)] - Park YK / 2000 / Bile peritonitis associated with biliary leakage after removal of T-tube from common bile duct / Korean J Hepatobiliary Pancreat Surg 4 : 131 ~ 137
4. [학술지(정기간행물)] - Zhang WJ / 2009 / Laparoscopic exploration of common bile duct with primary closure versus T-tube drainage: a randomized clinical trial / J Surg Res 157 : e1 ~ 5
5. [학술지(정기간행물)] - Jameel M / 2008 / Trend towards primary closure following laparoscopic exploration of the common bile duct / Ann R Coll Surg Engl 90 : 29 ~ 35
2. [학술지(정기간행물)] - Keighley MR / 1971 / Infective complications of choledochotomy with T-tube drainage / Br J Surg 58 : 764 ~ 768
3. [학술지(정기간행물)] - Park YK / 2000 / Bile peritonitis associated with biliary leakage after removal of T-tube from common bile duct / Korean J Hepatobiliary Pancreat Surg 4 : 131 ~ 137
4. [학술지(정기간행물)] - Zhang WJ / 2009 / Laparoscopic exploration of common bile duct with primary closure versus T-tube drainage: a randomized clinical trial / J Surg Res 157 : e1 ~ 5
5. [학술지(정기간행물)] - Jameel M / 2008 / Trend towards primary closure following laparoscopic exploration of the common bile duct / Ann R Coll Surg Engl 90 : 29 ~ 35
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UCI(KEPA) : I410-ECN-0101-2014-514-001274504