Causes and management of T-tube obstruction after laparoscopic common bile duct exploration

VernacularTitle:腹腔镜胆总管探查取石术后T管梗阻的原因及对策
Author: Yang YU ; Shibo SUN ; Tiewei SUN ; Yan SUN
Publication Type:Journal Article
Keywords: Laparoscopy; Common bile duct exploration; T-tube obstruction
From: Chinese Journal of Hepatobiliary Surgery 2014;20(5):363-365
CountryChina
Language:Chinese
Abstract: Objective To investigate the causes and management of T-tube obstruction after laparoscopic common bile duct exploration.Methods The clinical data of 5 patients who developed T-tube obstruction after laparoscopic common bile duct exploration from Jan.2009 to Oct.2013 were retrospectively analyzed.Results Among the 5 patients with T-tube obstruction,there were 3 patients with residual stones,1 with T-tube kinking at an angle,and 1 with abdominal muscle contraction compressing the T-tube.All of them were cured after treatment.Conclusions There is some risk of T-tube obstruction after laparoscopic common bile duct exploration.The key to resolve this problem is to play detailed attention to the operation.There should be timely discovery of the causes of obstruction followed by treatment.