Rubber transcystic drainage reduces the post-removal biliary complications in liver transplantation: a matched case–control study

Panaro, Fabrizio; Glaise, A.; Miggino, Marco; Bouyabrine, Hassan; Jp, Carabalona; Gallix, B.; Navarro, Françis

doi:10.1007/s00423-012-0970-4

Cited by 8 publications

(3 citation statements)

References 17 publications

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“…Resorbable internal biliary stents for LT have been tested in vitro and have been already employed to treat refractory anastomotic strictures in LT recipients[ 18 , 19 ]. In a matched case–control study, a transcystic straight drain has been used with improved results compared with T-tube placement; however, the technique is not applicable in bile ducts with a low cystic duct confluence [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Pediatric T-tube in adult liver transplantation: Technical refinements of insertion and removal

Spoletini¹,

Bianco²,

Franco³

et al. 2021

WJGS

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BACKGROUND With the increasing use of extended-criteria donor organs, the interest around T-tubes in liver transplantation (LT) was restored whilst concerns regarding T-tube-related complications persist. AIM To describe insertion and removal protocols implemented at our institution to safely use pediatric rubber 5-French T-tubes and subsequent outcomes in a consecutive series of adult patients. METHODS Data of consecutive adult LT patients from brain-dead donors, treated from March 2017 to December 2019, were collected ( i.e. , biliary complications, adverse events, treatment after T-Tube removal). Patients with upfront hepatico-jejunostomy, endoscopically removed T-tubes, those who died or received retransplantation before T-tube removal were excluded. RESULTS Seventy-two patients were included in this study; T-tubes were removed 158 d (median; IQR 128-206 d) after LT. In four (5.6%) patients accidental T-tube removal occurred requiring monitoring only; in 68 (94.4%) patients Nelaton drain insertion was performed according to our protocol, resulting in 18 (25%) patients with a biliary output, subsequently removed after 2 d (median; IQR 1-4 d). Three (4%) patients required endoscopic retrograde cholangiopancreatography (ERCP) due to persistent Nelaton drain output. Three (4%) patients developed suspected biliary peritonitis, requiring ERCP with sphincterotomy and nasobiliary drain insertion (only one revealing contrast extravasation); no patient required percutaneous drainage or emergency surgery. CONCLUSION The use of pediatric rubber 5-French T-tubes in LT proved safe in our series after insertion and removal procedure refinements.

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Section: Discussionmentioning

confidence: 99%

Pediatric T-tube in adult liver transplantation: Technical refinements of insertion and removal

Spoletini¹,

Bianco²,

Franco³

et al. 2021

WJGS

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“…Eine Vielzahl von Anastomosentechniken, End-zu-End, Seit-zu-Seit (Weiss 2009), mit und ohne T-Drainage (Lopez-Andujar 2013), mit und ohne intraluminaler Drainage/Stent (Panaro 2013) wurde entwickelt, um diesem Problem zu begegnen. Eine Vielzahl von Anastomosentechniken, End-zu-End, Seit-zu-Seit (Weiss 2009), mit und ohne T-Drainage (Lopez-Andujar 2013), mit und ohne intraluminaler Drainage/Stent (Panaro 2013) wurde entwickelt, um diesem Problem zu begegnen.…”

Section: Gallengangkomplikationenunclassified

Komplikationsmanagement in der Chirurgie

Rentsch¹,

Khandoga²,

Angele³

et al. 2015

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“…A cystic duct tube (C-tube) may be inserted via the cystic duct into the common bile duct (CBD) during cholecystectomy for postoperative percutaneous biliary drainage [1][2][3][4][5]. Postoperative C-tube migration has been reported in 6.6 % cases [2].…”

mentioning

confidence: 99%

Endoscopic transpapillary repositioning of a migrated cystic duct tube using a gooseneck snare technique

et al. 2023

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Rubber transcystic drainage reduces the post-removal biliary complications in liver transplantation: a matched case–control study

Abstract: The use of rubber TBD in liver transplant recipients does not increase the number of BD complications compared to the T-tube. Furthermore, less BD anastomotic stenosis and post-removal complications were observed in the TBD group compared to the TT group.

Cited by 8 publications

References 17 publications

Pediatric T-tube in adult liver transplantation: Technical refinements of insertion and removal

Pediatric T-tube in adult liver transplantation: Technical refinements of insertion and removal

Komplikationsmanagement in der Chirurgie

Endoscopic transpapillary repositioning of a migrated cystic duct tube using a gooseneck snare technique

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