Common bile duct T-tubes - A caveat and recommendations for management

被引:15
作者
Jacobs, LK [1 ]
Shayani, V [1 ]
Sackier, JM [1 ]
机构
[1] George Washington Univ, Washington, DC 20037 USA
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1998年 / 12卷 / 01期
关键词
bile leak; T-tube; biliary tree;
D O I
10.1007/s004649900595
中图分类号
R61 [外科手术学];
学科分类号
摘要
Operations on the common bile duct can result in severe long-term consequences. To prevent some of these complications, it is common practice to drain the biliary tree with a T-tube. The T-tube is usually removed 2 weeks after it was placed, There have been numerous reports of bile leak following T-tube removal in the literature. These leaks can result in bile ascites, biloma, or bile peritonitis, Control of bile leaks can be accomplished in a number of ways, including endoscopically or radiologically placed stents or drains and radiologic techniques to drain the fluid collections. We describe a novel technique that can be utilized at the time of T-tube removal that will allow immediate control of the bile leak and prevent the complications of bile accumulation within the peritoneal cavity. We have performed fluoroscopic removal of T-tubes on two patients and found no complications with the technique, We have successfully visualized the T-tube tract in both patients. The T-tube tract can be visualized at the time of T-tube removal in an effort to prevent the complications of tract disruption and subsequent bile leak.
引用
收藏
页码:60 / 62
页数:3
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