title: Preliminary study of choledochocholedochostomy without T tube in liver transplantation: a comparative study.
abstract: BACKGROUND
  Biliary anastomosis during liver transplantation can be safely performed using an end-to-end choledochocholedochostomy, with or without a T tube. The objective of this study was to determine whether the insertion of a T tube was related to more postoperative complications.
  
  
  METHODS
  Between April 1986 and September 2004, we performed a retrospective, longitudinal, and comparative study of 1012 liver transplantations, including 50 adult recipients with a T tube and a control group with a choledochocholedochostomy without a T tube.
  
  
  RESULTS
  T tube insertion was associated with more postoperative complications and worse actuarial survival of both the recipient and graft, though these differences did not reach statistical significance.
  
  
  CONCLUSIONS
  The duct-to-duct biliary anastomosis stented with a T tube tends to be associated with more postoperative complications. Based on this analysis, we recommend the performance of a nonstented anastomosis.
authors.affiliation: Servicio de Cirugía General, Aparato Digestivo y Trasplante de Organos Abdominales, Hospital 12 de Octubre, Madrid, Spain.
authors.forename: A Moreno
authors.initials: AM
authors.lastname: Elola-Olaso
authors.forename: J C Meneu
authors.initials: JC
authors.lastname: Diaz
authors.forename: E Moreno
authors.initials: EM
authors.lastname: Gonzalez
authors.forename: I
authors.initials: I
authors.lastname: García Garcia
authors.forename: P Ortega
authors.initials: PO
authors.lastname: Domene
authors.forename: S
authors.initials: S
authors.lastname: Olivares
authors.forename: R Gómez
authors.initials: RG
authors.lastname: Sanz
authors.forename: Y Fundora
authors.initials: YF
authors.lastname: Suarez
authors.forename: J
authors.initials: J
authors.lastname: Calvo
mesh_terms: D001660:Biliary Tract Diseases / Q000601:surgery; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects / Q000379:methods; D002761:Cholangitis / Q000209:etiology; D002768:Choledochostomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007582:Jejunostomy; D016031:Liver Transplantation / Q000379:methods*; D010538:Peritonitis / Q000209:etiology