Applition of ureterd cytheter through cystic duct remnant for bile duct drainage after common bile duct exploration
- VernacularTitle:输尿管导管胆道引流用于胆总管探查及胆管一期缝合手术218例临床观察
- Author:
Mingjin DING
;
Junhua ZHANG
;
Guodong ZHAO
;
Hongying PAN
- Publication Type:Journal Article
- Keywords:
COMMON BILE DUCT/surg;
DRAINAGE,COMMON BILE DUCT CALCULI/surg
- From:
Chinese Journal of General Surgery
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of bile duct drainage using ureter catheter through cystic duct remnant with primary closure of the common bile duct(CBD) incision after CBD exploration.Methods (Retrospective) analysis of the clinical data of 218 cases using this method. Results All cases were operated on successfully.There were no complications such as bile leakage,bile duct stricture in this series.The (catheter) were removed 5-7 days after operation in 215 cases,10 days after operation in 3.None of the 218 cases had complications after removal of the catheter.The rate of stone clearance was 99.7%(217/218).Average hospitalization time after operation was(6.5?3.0)days.All the 218 cases were followed up for 1-5 years.On ultrosounography no bile duct stricture was found in the followed up cases.Conclusions (Using) ureteral catheter through cystic duct remnant for drainage of bile duct after CBD exploration with primary closure of the CBD is an effctive,reliable and safe method in preventing postoperative bile leakage,bile duct stricture and diagnosis of the postoperative retention of bile duct stones.
