Comparative Study of Modified Biliary Stent and T-Tube Drainage in Common Bile Duct Exploration
Abstract: Objective: To explore the alternative methods of T-tube drainage in common bile duct exploration. Methods: Open common bile duct exploration (OCBDE) was done in patients with common bile duct (CBD) stones. After extraction of stones, the bowknot-liked stent was pushed into the distal part of the bile duct and lumen of the duodenum over a guide wire. The CBD incision was primarily closed. Results: This technique was used in 31 patients. While T-tube placement was performed in 30 patients of control group. The average postoperative hospital stay was 5.7 and 9.5 days (P < 0.05). There was no difference between the two groups on both the early postoperative complications and liver function. All the stents had been discharged with stool. The average time of the stent discharge was (13.8 ± 2.91) postoperative days. Conclusion: During OCBDE, it was an efficient alternative method to place the bowknot-liked stent at the lower end of common bile duct. It can reduce the complications related to T-tubes.
文章引用: 孙象军 , 王明春 , 曹玉军 , 秦 军 , 杜成江 (2017) 胆总管探查改良自行脱落胆管支架引流与T管引流的比较。 亚洲外科手术病例研究， 6， 1-4. doi: 10.12677/ACRS.2017.61001
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