Complications following T-tube and C-tube Drainage of the Common Bile Duct
AJTES Vol. 5, No 2, July 2021.
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Keywords

choledochotomy
T-tube
C-tube
CBD exploration
ES
ERCP

How to Cite

Bode, R., Shella, K., Dede, H., Draçini, X., & Çeliku, E. (2021). Complications following T-tube and C-tube Drainage of the Common Bile Duct. Albanian Journal of Trauma and Emergency Surgery, 5(2), 834-837. https://doi.org/10.32391/ajtes.v5i2.228

Abstract

The aim of this study is to assess the complications of T-tube (Kehr) and C- tube (Cystic) drainage used for biliary drainage, following biliary surgery. 

We evaluate all possible complications, related to the tube in situ, during cholangiography and following t- tube removal retrospectively, during a 4- year period 2016-2019.

T-tubes were inserted in 48 patients, with 11 (22.8%) patients experiencing complications related to T-tube. A broad spectrum of complications was found, ranging from biliary-specific complications such as a biliary leak, biliary peritonitis, and retained stones, to systemic general complications as wound infection, pulmonary thromboembolism, and internal hemorrhage.

Although this retrospective study has underestimated the incidence of T-tube complications, it has demonstrated significant morbidity related to T-tube use, which poses the need for replacement by minimally invasive surgical techniques.

https://doi.org/10.32391/ajtes.v5i2.228
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References

Glenn F. The physiological basis for surgical treatment of nonmalignant disease of the biliary tract. Surg Clin North Am 1958; 38: 471-85.

Keighley MRB, Burdon DW, Baddeley RM et al. Complications of supraduodenal choledochotomy: comparison of three methods of management. Br J Surg 1976;63:754-8

Thornton JK. Observations on additional cases illustrating hepatic surgery. Lancet 1891;i:763-4

Apalakis A. An experimental evaluation of the types ofmaterial used for bile duct drainage tubes. BrJ Surg 1976; 63: 440-5.

Pitt HA, Postier RG, Cameron JL. Postoperative T-Tube cholangiography. Ann Surg 1980; 191:30-4.

Coppola R, Riccioni ME, Ciletti S, Cosentino L, Coco C, Magistrelli P, Picciocchi A (1997) Analysis of complications of endoscopic sphincterotomy for biliary stones in a consecutive series of 546 patients. Surg Endosc 11:129–132

Kim EK, Lee SK (2004) Laparoscopic treatment of choledocholithiasis using modified biliary stents. Surg Endosc 18:303–306

Griniatsos J, Karvounis E, Arbuckle J, Isla AM (2005) Costeffective method for laparoscopic choledochotomy. ANZ J Surg 75:35–3

Tang CN, Tai CK, Ha JP, Tsui KK, Wong DC, Li MK (2006) Antegrade biliary stenting versus T-tube drainage after laparoscopic choledochotomy. A comparative cohort study. Hepatogastroenterology 53:330–334

Apalakis A. An experimental evaluation of the types ofmaterial used for bile duct drainage tubes. BrJ Surg 1976; 63: 440-5.

Leida Z, Ping B, Shuguang W, Yu H (2008) A randomized comparison of primary closure and T-tube drainage of the common bile duct after laparoscopic choledochotomy. Surg Endosc 22:1595–1600

Patelin JB (2003) Laparoscopic common bile duct exploration. Lessons learned from [12 years’ experience. Surg Endosc 17:1705–1715

Paganini AM, Guerrieri M, Sarnari J, De Sanctis A, D’Ambrosio G, Lezoche G, Perretta S, Lezoche E (2007) Thirteen years’ experience with laparoscopic transcystic common bile duct exploration for stones. Effectiveness and long-term results. Surg Endosc 21:34–40

JACOBS L. K., SHAYANI V., SACKIER J. M. Common bile duct T-tubes. A caveat and recommendations for management. Surg Endosc, 1998, 12: 60-2. 8.

MAURI A., CIRIGLIANO W. D., ZANON C., ALLUMINIO P., GIOANETTI N. R., MODO D. Choleperitoneum following Kehr’s tube removal: conservative treatment with culdocentesis associated with sphincterotomy and endoscopic drainage of the bile ducts. Minerva Chir, 1991, 46: 279-81.

NOMURA T., NIKKUNI K., KATO H., YOSHIKAWA T., SASAKI K., SHIRAI Y., Hatakeyama K. Bile peritonitis due to spontaneous perforation of the common bile duct: report of a case. Surg Today, 1996, 26: 822-4.

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