• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Advances in Bioscience and Clinical Medicine >Comparison between primary closure and T-tube drainage after open choledocotomy
【24h】

Comparison between primary closure and T-tube drainage after open choledocotomy

机译：开腹胆囊切除术后初次闭合与T管引流的比较

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Common Bile Duct (CBD) exploration for choledocolithiasis is usually closed after T-tube insertion. However, complications of T-tube insertion limit its use. In the present study, we wanted to compare outcomes between primary repair of choledocotomy and traditional T-tube insertion. Material and methods: Thirty patients with CBD stones disease admitted at Sina and Imam Reza hospitals of Tabriz, from April 2012 to February 2013, were included in this study. The patients were randomly divided into two groups: T-tube drainage group and primary closure group. Intraoperative findings and postoperative complications were recorded and analyzed. Results: There was no mortality and retained stones in both groups. Two of 15 patients in the T-tube group and four of 15 patients in primary closure group suffered from minor bile leakage. There was no major bile leakage in the T-tube group but one patient in the primary closure group had major bile leakage, which was treated conservatively without surgical or endoscopic intervention. Wound infection was seen in two patients in the T-tube group and one patient in the primary closure group. In follow up assessment, there was no intra-abdominal collection in both groups. Overall postoperative complications include biliary complications, wound infection and intra-abdominal collections, were seen in four patients in the T-tube group and six patients in primary closure group; that was not statically significant difference. Conclusion: primary closure of CBD after open choledocotomy is feasible and is as safe as T-tube insertion. In effect, primary closure avoids T-tube insertion and disadvantages associated with the use of T-tube. Primary closure can be recommended for selected patients with CBD stone disease.
机译：背景：胆总管结石的胆总管探查通常在T管插入后关闭。然而，T形管插入的复杂性限制了其使用。在本研究中，我们希望比较胆总管切开术和传统T形管插入术之间的结局。材料和方法：2012年4月至2013年2月，在大不里士的Sina和Imam Reza医院收治的30例CBD结石病患者被纳入本研究。将患者随机分为两组：T管引流组和初次闭合组。记录并分析术中发现的结果和术后并发症。结果：两组均无死亡率和结石残留。 T型管组的15例患者中有2例，初次闭合组的15例中有4例患有轻微的胆漏。 T管组无大胆漏，但初次闭合组有1例有大胆漏，经手术或内窥镜干预保守治疗。 T型管组中有2例患者发生伤口感染，初次闭合组中有1例患者出现伤口感染。在随访评估中，两组均没有腹腔收集物。总体术后并发症包括胆道并发症，伤口感染和腹腔积液，在T型管组中有4例患者，在原发性闭塞组中有6例。那不是静态上的显着差异。结论：开腹胆囊切除术后初步封闭CBD是可行的，并且与T管插入一样安全。实际上，一次闭合避免了T形管的插入以及与使用T形管相关的缺点。对于某些患有CBD结石病的患者，建议进行初次闭合治疗。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号