ArticleWorld journal of surgery2008
Is a T-tube necessary after common bile duct exploration?
Article in World journal of surgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Complications of biliary stenting versus T-tube insertion after common bile duct exploration: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Can T-tube drainage be replaced by primary suture technique in laparoscopic common bile duct exploration? A meta-analysis of randomized controlled trials.Langenbeck's archives of surgery · 2020Pooled it
- Laparoscopic primary suture versus T-tube drainage for choledocholithiasis: a comparative analysis of efficacy and safety.Surgical endoscopy · 2026Article
- Safety and Feasibility of Primary Closure Following Laparoscopic Common Bile Duct Exploration for Treatment of Choledocholithiasis.World journal of surgery · 2023Article
- Laparoscopic Transcystic Common Bile Duct Exploration: 8-Year Experience at a Single Institution.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Surgical methods of treatment for cholecystolithiasis combined with choledocholithiasis: six years' experience of a single institution.Surgical endoscopy · 2022Article
- Comparison of Primary Suture and T-Tube Drainage After Laparoscopic Common Bile Duct Exploration Combined with Intraoperative Choledochoscopy in the Treatment of Secondary Common Bile Duct Stones: A Single-Center Retrospective Analysis.Journal of laparoendoscopic & advanced surgical techniques. Part A · 2022Article
- Comparative assessment of the biocompatibility and degradation behavior of Zn-3Cu and JDBM alloys used for biliary surgery.American journal of translational research · 2020Article
- Comprehensive and innovative techniques for laparoscopic choledocholithotomy: A surgical guide to successfully accomplish this advanced manipulation.World journal of gastroenterology · 2019Review
- Temporary CBD Stenting with a Nelaton Tube Is a More Practical and Safer Option Than T-Tube Drainage after Conventional CBD Exploration for Choledocholithiasis.HPB surgery : a world journal of hepatic, pancreatic and biliary surgery · 2018Article
- Primary Closure Following Laparoscopic Common Bile Duct Exploration Combined with Intraoperative Choledochoscopy and D-J Tube Drainage for Treating Choledocholithiasis.Medical science monitor : international medical journal of experimental and clinical research · 2017Article
- Retrospective Clinical Study of the Effects of T-Tube Placement for Bile Duct Stricture.Medical science monitor : international medical journal of experimental and clinical research · 2017Article
- Spontaneously removed biliary stent drainage versus T-tube drainage after laparoscopic common bile duct exploration.Medicine · 2016Observational
- Technique for the safe placement of a biodegradable stent into the common bile duct of rabbits.Experimental and therapeutic medicine · 2013Article
- Role of T tube placement in open common bile duct explorations.The Indian journal of surgery · 2012Article
- Sphincter of Oddi-preserving and T-tube-free laparoscopic management of extrahepatic bile duct calculi.World journal of surgery · 2011Article
- Laparoscopic common bile duct exploration for elderly patients: as a first treatment strategy for common bile duct stones.Journal of the Korean Surgical Society · 2011Article
- Etiological spectrum and treatment outcome of Obstructive jaundice at a University teaching Hospital in northwestern Tanzania: A diagnostic and therapeutic challenges.BMC research notes · 2011Article
- Primary common bile duct closure is safe following emergency and elective exploration.World journal of surgery · 2009Article
- Various techniques for the surgical treatment of common bile duct stones: a meta review.Gastroenterology research and practice · 2009Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundT-tube drainage used to be standard practice after surgical choledocholithotomy, but there is now a tendency in some centers to close the common bile duct (CBD) primarily. This study was designed to review the complications associated with T-tube drainage after CBD exploration and to determine whether primary closure of the bile duct reduces postoperative morbidity.
methodsA retrospective audit was performed on patients undergoing CBD exploration between July 1997 and March 2007, who were identified from the theatre database of one teaching hospital. Intraoperative findings and postoperative complications were recorded from the clinical notes.
resultsDuring the study period, 158 patients (97 women; median age 65 (range, 25-90) years) underwent CBD exploration. A T-tube was inserted in 91 patients (group I) and the CBD was closed primarily in 67 (group II). One or more biliary complications occurred in 26 patients (16.5%): 20 (22.0%) in group I and 6 (8.9%) in group II (p = 0.03). In group I, 15 had a biliary leak (3 needed reoperation), 2 had accidental slippage of the tube, 2 an entrapped T-tube, and 1 a retained stone. In group II, six patients had biliary leakage, two of whom were re-explored. Six patients in group I also had peritubal infection, necessitating the use of antibiotics. There were three deaths: two in group I (1 T-tube-related) and 1 in group II (p = 1, not significant).
conclusionThere is a lower biliary complication rate associated with primary closure of the CBD than after T-tube drainage.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.