COMMON BILE DUCT STONE EXPLORATION: T-TUBE OR BILIARY
DOI:
https://doi.org/10.11603/2414-4533.2024.1.14639Keywords:
choledocholithiasis, cholelithiasis, T-tube drainage, biliary stentingAbstract
The aim of the work: to reduce hospital length of stay and morbidity after stent placement compared with T-tube drainage. Reduce costs and increase patient satisfaction with biliary stenting
Materials and Methods. The study involves 52 patients with choledocholithiasis who underwent LCBDE and decompression of the biliary system by either antegrade biliary stent or T-tube insertion. A 7 French biliary stent (9 “10 cm long) have been placed in 27 patients (group I), T-tube insertion have been used for 25 patients (group II). The length of hospital stay and complications were recorded. All transcystic explorations were excluded.
Results. There were no significant differences between groups with respect to age, sex, comorbidities, number and size of CBD stones. Postoperative complications have been observed in 4 patients (16 %) in the T-tube group (one patient needed reoperation for dislocation of T-tube), and in 1 patient (3.7 %) in the biliary stent group (p < 0.05). The mean postoperative hospital stay was 3.2 ± 1.2 days for group I, and 6.2 ± 1.7 days for group II (p < 0.05).
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