One hundred ninty sixth patients with benign biliary stones were operated at the Department of Surgery, Kang Nam General Hospital, Public Corporation during 5 years from January 1985, to December 1989, And we reviewed 84 cases(42.8%) of them who
had
additional T-tube choledochostomy.
@ES The results of the study were obtained as follows :
@EN 1) In 84 cases, the type of operation procedures were cholecystectomy with T-tube choledochostomy(66 cases), biliary-enteric drainage(24 case), hepatectomy with T-tube drainage(5%c cases)
2) Postoperative complications associated with choledochostomy developed in 13 cases(15.7%). Common complications was benign cholangtis in 8 cases(9.5%). biliary leakage in 5 cases(5.9%). But there was no postoperative mortality.
3) The postoperative T-tube cholangiography was done within 14-days in 57.2%, in other cases within 2 months. The causes of delay over 15 days were increased level of GOT, GPT, continued drainage of sludge via T-tube, associated liver abscess.
4) On postoperative T-tube cholangiogram, normal finding in 56 cases(9.5%) were detected.
5) Because stone removal was impossible on operation field in 4 cases among 13 cases of residual stones so the incidence of missed residual stone was 9 cases (10.7%).
6) Percutaneous extraction of residual biliary tract stone through T-tube was established in 8 cases, excluding 1 case which residual stone was removed spontaneously. Success rate was 87.5%.
7) In 4 cases which only T-tube drainage procedure was done, there was no significant problem during follow-up between 14 months and 30 months.
8) T-tube was removed 81 cases within 2 years excluding 3 cases
|