|
KMID : 0371319970520020215
|
|
Journal of the Korean Surgical Society
1997 Volume.52 No. 2 p.215 ~ p.222
|
|
|
A Clinical Analysis of Open T-tube Choledochostomy
|
|
채성돈
이원흥/권국환/민현식
|
|
|
Abstract
|
|
|
Traditionally, open choledochotomy with T-tube choledochostomy had been considered as the "gold standard" for choledocholithiasis. Recently, the frequency of performing the open choledochotomy with T-tube choledochostomy has decreased due to the
progression of several less invasive procedures and laparoscopic technques, but until now open choledochotomy with T-tube choledochostomy is the most popular procedure in choledocholithiasis.
Therefore we reviewed 126 cases who were treated with open choledochotomy with T-tube choledochostomy from January 1987 to June 1996 at our institution in order to inspect the several problematic points especially after T-tube removal.
@ES The results are summarized as follows:
@EN 1) The sex ratio of male to female was 1: 1.29, and the average age was 59.6 years old.
2) 119 cases(94.4%) were biliary tract stone disease and 7 cases(5.6%) were non-calculous benign biliary tract disease. The most common etiologic disease was GB and CBD stone(37.3%).
3) Most of postoperative T-tube cholangiography was performed within 14 days(84.1%).
4) The number of patients containing some residual stone at postoperative T-tube cholangiography was 29 cases(23%). 14 of these patients were treated by Dormia-basket stone removal and its success rate was 85.7%.
5) The T-tube was removed within 2 months in 109 cases(86.5%).
6) The number of complications after T-tube removal were 8 cases(6.3%). All of them had bile peritonitis symptomes, and three of them were treated by reoperation.
7) The postoperative complications were noted in 27 cases(21.4%). And the most frequent complication is wound infection(25.8%). The postoperative mortality was noted in 1 cases(0.8%)
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|