Primary Closure Versus T-Tube Drainage Following Laparoscopic Common Bile Duct Exploration in Patients With Previous Biliary Surgery
Laparoscopic common bile duct exploration (LCBDE) has been recently introduced for management of CBD stone in patients with previous biliary surgery history. The aim of this study was to evaluate the safety and effectiveness of primary closure in patients with previous biliary surgery history compar...
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| Veröffentlicht in: | The American surgeon 2021-01, Vol.87 (1), p.50-55 |
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| creator | Zhen, Wan Xu-Zhen, Wang Nan-Tao, Fu Yong, Li Wei-Dong, Xiao Dong-Hui, Zheng |
| description | Laparoscopic common bile duct exploration (LCBDE) has been recently introduced for management of CBD stone in patients with previous biliary surgery history. The aim of this study was to evaluate the safety and effectiveness of primary closure in patients with previous biliary surgery history compared to T-tube drainage. Eighty patients with previous biliary surgery history including laparoscopic cholecystectomy, open cholecystectomy, or open common bile duct exploration were enrolled in the retrospective study. The patients were divided into 2 groups according to the methods of choledochotomy closure. Group A: patients with primary closure after LCBDE (n = 51); group B: patients with T-tube drainage after LCBDE (n = 29). Group A exhibited a shorter postoperative hospital stay and lower hospitalization expenses compared to group B. There was no significant difference in conversion rate to open surgery, operating time, intraoperative blood loss, bile leakage rate, overall complication rate, and stone recurrence rate between the 2 groups. Biliary stricture was not observed in the 2 groups during the follow-up period. Primary closure following LCBDE is safe and effective for the management of CBD stones in patients with previous biliary surgery history. |
| doi_str_mv | 10.1177/0003134820947396 |
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The aim of this study was to evaluate the safety and effectiveness of primary closure in patients with previous biliary surgery history compared to T-tube drainage. Eighty patients with previous biliary surgery history including laparoscopic cholecystectomy, open cholecystectomy, or open common bile duct exploration were enrolled in the retrospective study. The patients were divided into 2 groups according to the methods of choledochotomy closure. Group A: patients with primary closure after LCBDE (n = 51); group B: patients with T-tube drainage after LCBDE (n = 29). Group A exhibited a shorter postoperative hospital stay and lower hospitalization expenses compared to group B. There was no significant difference in conversion rate to open surgery, operating time, intraoperative blood loss, bile leakage rate, overall complication rate, and stone recurrence rate between the 2 groups. Biliary stricture was not observed in the 2 groups during the follow-up period. Primary closure following LCBDE is safe and effective for the management of CBD stones in patients with previous biliary surgery history.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/0003134820947396</identifier><identifier>PMID: 32911967</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Abdomen ; Adult ; Aged ; Bile ; Bile ducts ; Biliary Tract Surgical Procedures ; Body mass index ; Cholecystectomy ; Classification ; Common Bile Duct - surgery ; Drainage ; Exploration ; Female ; Gallstones ; Gallstones - surgery ; Humans ; Infections ; Laparoscopy ; Male ; Medical personnel ; Middle Aged ; Operative Time ; Patients ; Peritonitis ; Retrospective Studies ; Stone ; Stricture ; Surgery ; Surgical drains ; Treatment Outcome ; Ultrasonic imaging ; Wound Closure Techniques ; Wound drainage</subject><ispartof>The American surgeon, 2021-01, Vol.87 (1), p.50-55</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-7965d5c290c7354b326c4e734db78c0d62919a4c0deee9284e7dabe4da65cb883</citedby><cites>FETCH-LOGICAL-c365t-7965d5c290c7354b326c4e734db78c0d62919a4c0deee9284e7dabe4da65cb883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003134820947396$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003134820947396$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32911967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhen, Wan</creatorcontrib><creatorcontrib>Xu-Zhen, Wang</creatorcontrib><creatorcontrib>Nan-Tao, Fu</creatorcontrib><creatorcontrib>Yong, Li</creatorcontrib><creatorcontrib>Wei-Dong, Xiao</creatorcontrib><creatorcontrib>Dong-Hui, Zheng</creatorcontrib><title>Primary Closure Versus T-Tube Drainage Following Laparoscopic Common Bile Duct Exploration in Patients With Previous Biliary Surgery</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Laparoscopic common bile duct exploration (LCBDE) has been recently introduced for management of CBD stone in patients with previous biliary surgery history. The aim of this study was to evaluate the safety and effectiveness of primary closure in patients with previous biliary surgery history compared to T-tube drainage. Eighty patients with previous biliary surgery history including laparoscopic cholecystectomy, open cholecystectomy, or open common bile duct exploration were enrolled in the retrospective study. The patients were divided into 2 groups according to the methods of choledochotomy closure. Group A: patients with primary closure after LCBDE (n = 51); group B: patients with T-tube drainage after LCBDE (n = 29). Group A exhibited a shorter postoperative hospital stay and lower hospitalization expenses compared to group B. There was no significant difference in conversion rate to open surgery, operating time, intraoperative blood loss, bile leakage rate, overall complication rate, and stone recurrence rate between the 2 groups. Biliary stricture was not observed in the 2 groups during the follow-up period. Primary closure following LCBDE is safe and effective for the management of CBD stones in patients with previous biliary surgery history.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Aged</subject><subject>Bile</subject><subject>Bile ducts</subject><subject>Biliary Tract Surgical Procedures</subject><subject>Body mass index</subject><subject>Cholecystectomy</subject><subject>Classification</subject><subject>Common Bile Duct - surgery</subject><subject>Drainage</subject><subject>Exploration</subject><subject>Female</subject><subject>Gallstones</subject><subject>Gallstones - surgery</subject><subject>Humans</subject><subject>Infections</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Patients</subject><subject>Peritonitis</subject><subject>Retrospective Studies</subject><subject>Stone</subject><subject>Stricture</subject><subject>Surgery</subject><subject>Surgical drains</subject><subject>Treatment Outcome</subject><subject>Ultrasonic imaging</subject><subject>Wound Closure Techniques</subject><subject>Wound drainage</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU1P3DAQhq0KVJZt7z0hS1x6SbHjr_jYLh9FWomV2MIxcpzZxSiJUztpy50fjqMFKiFx8tjzzDvjdxD6Qsk3SpU6IYQwyniRE80V0_IDmlEhRKaLnO2h2ZTOpvwBOozxPl25FPQjOmC5plRLNUOPq-BaEx7wovFxDIBvIMQx4nW2HivAp8G4zmwBn_um8X9dt8VL05vgo_W9s3jh29Z3-IdrEjvaAZ_96xsfzODSq-vwKkXQDRHfuuEOrwL8cT6pJ95NTa_HsIXw8Antb0wT4fPzOUe_zs_Wi5_Z8uricvF9mVkmxZApLUUtbK6JVUzwiuXSclCM15UqLKll-pU2PEUAoPMi5WpTAa-NFLYqCjZHX3e6ffC_R4hD2bpooWlMB2msMuecSqIEpQk9foPe-zF0aboyF1QQSgoxUWRH2eRIDLAp-52dJSXltKHy7YZSydGz8Fi1UL8WvKwkAdkOiMn3_13fFXwC4_WY6A</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Zhen, Wan</creator><creator>Xu-Zhen, Wang</creator><creator>Nan-Tao, Fu</creator><creator>Yong, Li</creator><creator>Wei-Dong, Xiao</creator><creator>Dong-Hui, Zheng</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>202101</creationdate><title>Primary Closure Versus T-Tube Drainage Following Laparoscopic Common Bile Duct Exploration in Patients With Previous Biliary Surgery</title><author>Zhen, Wan ; Xu-Zhen, Wang ; Nan-Tao, Fu ; Yong, Li ; Wei-Dong, Xiao ; Dong-Hui, Zheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-7965d5c290c7354b326c4e734db78c0d62919a4c0deee9284e7dabe4da65cb883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Aged</topic><topic>Bile</topic><topic>Bile ducts</topic><topic>Biliary Tract Surgical Procedures</topic><topic>Body mass index</topic><topic>Cholecystectomy</topic><topic>Classification</topic><topic>Common Bile Duct - 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Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhen, Wan</au><au>Xu-Zhen, Wang</au><au>Nan-Tao, Fu</au><au>Yong, Li</au><au>Wei-Dong, Xiao</au><au>Dong-Hui, Zheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary Closure Versus T-Tube Drainage Following Laparoscopic Common Bile Duct Exploration in Patients With Previous Biliary Surgery</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2021-01</date><risdate>2021</risdate><volume>87</volume><issue>1</issue><spage>50</spage><epage>55</epage><pages>50-55</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>Laparoscopic common bile duct exploration (LCBDE) has been recently introduced for management of CBD stone in patients with previous biliary surgery history. The aim of this study was to evaluate the safety and effectiveness of primary closure in patients with previous biliary surgery history compared to T-tube drainage. Eighty patients with previous biliary surgery history including laparoscopic cholecystectomy, open cholecystectomy, or open common bile duct exploration were enrolled in the retrospective study. The patients were divided into 2 groups according to the methods of choledochotomy closure. Group A: patients with primary closure after LCBDE (n = 51); group B: patients with T-tube drainage after LCBDE (n = 29). Group A exhibited a shorter postoperative hospital stay and lower hospitalization expenses compared to group B. There was no significant difference in conversion rate to open surgery, operating time, intraoperative blood loss, bile leakage rate, overall complication rate, and stone recurrence rate between the 2 groups. Biliary stricture was not observed in the 2 groups during the follow-up period. Primary closure following LCBDE is safe and effective for the management of CBD stones in patients with previous biliary surgery history.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32911967</pmid><doi>10.1177/0003134820947396</doi><tpages>6</tpages></addata></record> |
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| ispartof | The American surgeon, 2021-01, Vol.87 (1), p.50-55 |
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| subjects | Abdomen Adult Aged Bile Bile ducts Biliary Tract Surgical Procedures Body mass index Cholecystectomy Classification Common Bile Duct - surgery Drainage Exploration Female Gallstones Gallstones - surgery Humans Infections Laparoscopy Male Medical personnel Middle Aged Operative Time Patients Peritonitis Retrospective Studies Stone Stricture Surgery Surgical drains Treatment Outcome Ultrasonic imaging Wound Closure Techniques Wound drainage |
| title | Primary Closure Versus T-Tube Drainage Following Laparoscopic Common Bile Duct Exploration in Patients With Previous Biliary Surgery |
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