Primary Suture of the Common Bile Duct: Continuous or Interrupted?

2021 ◽  
Author(s):  
Di Wu ◽  
Wenjian Jin ◽  
Yue Zhang ◽  
Yong An ◽  
Xuemin Chen ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Primary Suture ◽  
The Common

scholarly journals The effect of the laparoscopic primary suture of the common bile duct in elderly patients: a retrospective study

2019 ◽  
Author(s):  
Jinheng Liu ◽  
Yanting Wang ◽  
Xubao Liu ◽  
Sineng Yin
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Elderly Patients ◽  
Primary Suture ◽  
Tube Drainage ◽  
T Tube ◽  
Laparoscopic Choledochotomy ◽  
Extubation Time ◽  
Suture Group ◽  
The Common

Abstract Background Traditionally, Surgical treatment strategies for elderly patients diagnosed with choledocholithiasis combined with cholecystolithiasis include laparoscopic choledocholithotomy, cholecystectomy, and T-tube drainage. However, T-tube drainage in the biliary tract can still cause pain and other complications. This study was designed to compare the primary closure of choledochotomy and the use of T-tube after laparoscopic choledochotomy to determine whether primary suture can be as feasible and safe as suture with T-tube drainage in elderly patients. Methods From January 2017 to January 2018, 85 patients were selected to undergo laparoscopic surgery. They were divided into two groups: primary suture group (n=56) and T tube group (n=29). Preoperative data, intraoperative index, postoperative complications were recorded. Results There were no differences in preoperative data in both groups. Compared with the T-tube group, the postoperative total drainage volume on the first day and patients of residual stones were fewer, and all drainage tube extubation time was shorter in the primary suture group. And there were statistically significant differences in postoperative TBIL between the two groups. There were no pressure sores, hypostatic pneumonia, deep vein thrombosis, serious complications of heart, lung and brain and even death in both groups. Conclusion Only if accurate preoperative risk assessment and strict treatment of basic diseases in elderly patients, intraoperative fine suture of the common bile duct, primary suture in elderly patients are feasible, safe, and valid after laparoscopic choledochotomy for verification of ductal clearance.

scholarly journals The effect of the laparoscopic primary suture of the common bile duct in elderly patients: a retrospective study

2019 ◽  
Author(s):  
Jinheng Liu ◽  
Yanting Wang ◽  
Xubao Liu ◽  
Sineng Yin
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Elderly Patients ◽  
Drainage Tube ◽  
Primary Suture ◽  
Tube Drainage ◽  
T Tube ◽  
Suture Group ◽  
Indwelling Time ◽  
The Common

Abstract Background The surgery treatment strategies for elderly patients who were diagnosed as choledocholithiasis combined with cholecystolithiasis include laparoscopic choledocholithotomy with cholecystectomy and T-tube drainage or endoscopic sphincterotomy with nasobiliary drainage alone for those selected elderly patients without symptoms related to the gallbladder. However, long-term T-tube drainage will cause pain and life inconvenient. This study was designed to retrospective analysis the primary suture of the common bile duct and the T-tube drainage after laparoscopic choledochotomy to study the merits and demerits between primary suture and T-tube drainage in elderly patients. Methods Eighty-five patients were screened from January 2017 to January 2018. All patients were performed laparoscopic surgery, and an intraperitoneal drainage tube was left in all patients. Fifty-six cases were the primary suture group (n=56). Twenty-nine cases were the T-tube group (n=29). Preoperative baseline characteristics, intraoperative and postoperative characteristics of the two groups were compared. Results There were no differences in baseline characteristics in both groups (P＞0.05). Compared with the T-tube group, the postoperative total drainage volume on the first day [15(15, 58.75) vs 292(185, 360)] and patients of residual stones (0/56 vs 5/29) were fewer, and all drainage tube indwelling time [6(5,7) vs 84(82,86.5)] was shorter in the primary suture group(P﹤0.05). And there were statistically significant differences in postoperative total drainage volume on the first day [15(15, 58.75) vs 292(185, 360)], all drainage tube indwelling time [6(5, 7) vs 84(82, 86.5)], postoperative total bilirubin [22.15(13.475, 33) vs 31.3(20.6,57.3)] and residual stones (0/56 vs 5/29) between the two groups (P<0.05). There were no statistically significant differences in the other intraoperative and postoperative characteristics(P＞0.05). There were no pressure sores, postoperative pneumonia, deep vein thrombosis, serious complications of heart, lung and brain and even death in both groups. Conclusions With accurate preoperative risk assessment and strict treatment of basic diseases for elderly patients, if the stones in the common bile duct were cleared in laparoscopic surgery, the primary suture in elderly patients is feasible, safe, and valid.

Cholangioscopy using the SpyGlass System for a Rare Cause of Obstruction: Inflammatory Polyp of the Common Bile Duct

2017 ◽  
Vol 26 (2) ◽  
pp. 111 ◽  
Author(s):  
Theodor Voiosu ◽  
Monica Ionita ◽  
Andrei Voiosu ◽  
Andreea Bengus ◽  
Cristiana Popp ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Inflammatory Polyp ◽  
The Common

.

Milk of Calcium in the Common Bile Duct: CT Identification

2002 ◽  
Vol 179 (3) ◽  
pp. 804-805 ◽  
Author(s):  
Joseph P. Mazzie ◽  
Burton M. Gold ◽  
Robert Bartolomeo ◽  
Douglas S. Katz
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Milk Of Calcium ◽  
The Common

scholarly journals Endoscopic Fistulotomy – ‘The Suprapapillary Punch’: A Method of Access to the Bile Duct during ERCP

1994 ◽  
Vol 8 (1) ◽  
pp. 33-35
Author(s):  
Noel B Hershfield
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Biliary Tree ◽  
Usual Method ◽  
Endoscopic Retrograde ◽  
The Common ◽  
A Minor ◽  
Endoscopic Fistulotomy

Endoscopic retrograde cholangiopancreatography (ERCP) is established as the method of choice to investigate the biliary tree when obstruction is suspected. On rare occasions, the papilla cannot be entered because of anatomical or pathological abnormalities. This report describes endoscopic fistulotomy or the suprapapillary punch that has been carried out at the Foothills Hospital in Calgary, Alberta, on 30 of 623 patients referred for ERCP for conditions causing obstruction of the common bile duct or suspected obstruction of the common bile duct. The following communication also describes the method of suprapapillary punch or endoscopic fistulotomy. Results have been excellent with only one complication, a minor attack of pancreatitis after the procedure. In summary, the suprapapillary punch or fistulotomy is a safe and useful method for entering the common bile duct when access by the usual method is impossible.

Sign in / Sign up

Export Citation Format

Share Document