IS Α T-TUBE DRAINAGE OF ΤΗΕ COMMON BILE DUCT (CBD) ENOUGH AFTER Α CHOLEDOCHOTOMY ΟR Α SURGICAL DRAINAGE PROCEDURE IS NEEDED?
Abstract
This study concerns 35 patients operated for exploration of the common bile duct because of choledocholithiasis and a T-tube drainage of the CBD was used. 32 of the patients had a cholocystectomy and a CBD exploration plus a T-tube drainage. 3 of the patients had a CBD exploration plus a T-tube drainage. CBD exploration was positive for lithiasis in 24 out of 35 patients. Ιt is concluded that residual gallstones is an often complication in biliary surgery which very often requires a surgical treatment and may be a drainage surgical procedure could be used.References
Orloff MJ: Retained and Reccurent bile duct stones. Ιntroduction World J. Surg. 1978, 2:401.
Orloff MJ: The Billiary system. Ιn Daνis Cristopher Texbook of Surgery. 12th Edition. D.C. Sabiston Jr. editor. Philadelphia W.B. Saunder Co 1981, p. 1229.
Πεβερέτος Π: Χειρουργική της λιθιάσεως των χοληφόρων οδών. Αμφιλεγόμενες απόψεις λάθη-επιπλοκές- αποτελέσματα. Σελ. 147, Αθήνα 1985.
Way L W, Admirand WH, Dunphy JE: Management of choledocholithiasis. Ann. Surg. 1972, 176:347.
Hall RC, Sakiyalak Ρ, Kim SK, Rogers LS, Webb WR: Failure of operatiνe cholangiography to preνent retained common duct stones. Am. J. Surg. 1973, 125:51.
Bordley J, White TT: Causes of 340 reoperations of the extrahepatic bile ducts. Ann. Surg. 1979, 189:442.
Κούριας Β: Η εξέλιξη της εγχειρητικής τακτικής των χοληφόρων. Αντιτιθέμενες απόψεις και αμφιλεγόμενες μέθοδοι. Ελλην. Χειρουργ. 1979, 51:323.
Allen B, Shapiro Η, Way L W: Management of recurrent and residual common bile duct stones. Am. J. Surg. 1981, 142:41.
Madden JL: Primary common bile duct stones. World J. Surg. 1978, 2:465.
Saharia RC, Zuidema GD, Cameron JL: Primary common duct stones. Ann. Surg. 1977, 185:598.
Braash JW, Fender HR, Bonneνal MM: Refractory primary common bile duct stone disease. Amer. J. Surg. 1980, 139:526.
Madden JL: Common duct stones. Their origin and surgical management. Surg. Clin. Ν. Amer. 1973, 53:1095.
