The Physiological Basis for the Surgical Treatment of Nonmalignant Disease of the Biliary Tract

Glenn, Frank

doi:10.1016/s0039-6109(16)35439-1

Cited by 5 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The lethality rate for common bile duct exploration in relatively fit patients under the age of 60 years is less than 1%. With increasing age, the figures rise from 5 to 28% [24][25][26][27][28]. In emergency surgery in elderly people, a lethality of up to 70% has been described.…”

Section: Discussionmentioning

confidence: 99%

Primary endoscopic papillotomy (EPT) in patients with stones in the common bile duct and the gallbladder in situ: A 5‐8‐year follow‐up study

Rosseland

Solhaug

1988

World j. surg.

View full text Add to dashboard Cite

Seventy-five patients (mean age, 77 years) with common duct stones and the gallbladder in situ were treated with primary endoscopic papillotomy (EPT) during the period 1976-1979. The endoscopic procedure was successful in all patients, but 4 patients had to be operated on since the common duct stone did not pass.The complication rate was 13.3% and 1 patient died. One patient was operated on with cholecystectomy within a week after EPT because of progression of his cholecystitis. Another patient was operated on with drainage for perforated liver abscesses and cholecystectomy; she also died 1 week after Operation.In the follow-up period of 5-8 years, 12 patients were operated on with cholecystectomy: 7 patients because of acute cholecystitis, and 3 patients because of recurrent pain attacks. In 2 patients, the operation was done electively.Thirty patients died, all from other diseases except 1 patient who died from a gallbladder carcinoma 1 1/2 years after EPT. Three patients were treated conservatively for acute cholecystitis.After 5 years, 28 patients were still alive with the gallbladder in situ and none had symptoms from the gallbladder. Altogether, 13 (17.3%) patients were treated for acute cholecystitis during the 5-8-year follow-up period.

show abstract

Section: Discussionmentioning

confidence: 99%

Primary endoscopic papillotomy (EPT) in patients with stones in the common bile duct and the gallbladder in situ: A 5‐8‐year follow‐up study

Rosseland

Solhaug

1988

World j. surg.

View full text Add to dashboard Cite

show abstract

“…t-tube placement into the common bile duct is most commonly performed after common bile duct (cBD) exploration for cholelithiasis or repair of an iatrogenic cBD injury. t-tube drainage following choledochotomy has been a standard procedure in the era of open cholecystectomy (1), although controversies as to whether it is the best procedure [2,3]. there are different methods for extracting stones from the common bile duct and endoscopic extraction is the commonly procedure today [4,5].…”

Section: Introductionmentioning

confidence: 99%

Complications following T-tube & C-tube Drainage of the Common Bile Duct

Bode

Shella

Dede

et al. 2021

AJTES

View full text Add to dashboard Cite

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.

show abstract

Complications of supraduodenal choledochotomy: A comparison of three methods of management

Keighley

Burdon

Baddeley

et al. 1976

British Journal of Surgery

View full text Add to dashboard Cite

The complications of elective choledochotomy in a prospective study of 116 patients with suspected intraduct calculi are reported. Management included T tube drainage (n = 59), primary closure of the bile duct (n = 29) and choledochoduodenostomy (n = 28). Septicaemia occurred in 12 patients (10%), with 1 death, and was unrelated to the type of operation. Thirty patients (26%) developed wound infection; this complication was more common after T tube drainage than the other procedures. Intra-abdominal abscess occurred in 3 patients only. Thrombo-embolism was recorded in 10 patients (9%), 7 of whom had an intraduct drain. Postoperative pancreatitis occurred in 5 patients (4%), with 2 deaths; a third of the patients in whom sphincteroplasty had been combined with supraduodenal choledochotomy developed this complication. Reoperation for stones was required in 3 patients with T tube; 3 patients developed a temporary biliary fistula after choledochoduodenostomy. The hospital stay was 9-5 days after primary closure, 14-0 days after choledochoduodenostomy and 16-8 days after T tube drainage. Wound sepsis (32%) and thrombo-embolism (12%) were more common in patients with bacterbilia than in patients where the bile was sterile at operation (13 and 3% respectively). Furthermore, wound sepsis, septicaemia and thrombo-embolism were reduced in patients who were given effective antibiotic cover.

show abstract

The Physiological Basis for the Surgical Treatment of Nonmalignant Disease of the Biliary Tract

Cited by 5 publications

References 6 publications

Primary endoscopic papillotomy (EPT) in patients with stones in the common bile duct and the gallbladder in situ: A 5‐8‐year follow‐up study

Primary endoscopic papillotomy (EPT) in patients with stones in the common bile duct and the gallbladder in situ: A 5‐8‐year follow‐up study

Complications following T-tube & C-tube Drainage of the Common Bile Duct

Complications of supraduodenal choledochotomy: A comparison of three methods of management

Contact Info

Product

Resources

About