Laparoscopic choledochotomy over ENBD tubes proved to be technically feasible and safe. The ENBD tube decompresses the biliary tree and allows for cholangiography after surgery. Its removal does not need to wait for tract maturation, which allows an earlier removal of the tube and a shorter postoperative hospital stay. Laparoscopic choledochotomy over ENBD tubes is an effective alternative to the T-tube in laparoscopic choledochotomy.
Migration and translocation of metallic clips in the abdominal cavity after laparoscopic bile duct surgery have been reported to occur in the common bile duct (CBD), hepatic duct, duodenum, and even the ovarium, which could cause severe complications. Here we present three cases of metallic clip migration to the T-tube sinus tract after laparoscopic choledochotomy. Metallic clips were discharged from the sinus tract of the T-tube into the drainage bag in two cases. In another case, clips were found to translocate into the sinus tract during choledochoscopic examination for residual stones in CBD.
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