title: A case of T-tube dislocation.
abstract: In environments where endoscopic retrograde cholangio-pancreatogram (ERCP) services may at time be limited or unavailable, the surgeon must also decide between the insertion of a conventional T-tube or primary choledochorrhaphy when it is operatively perceived that the common bile duct (CBD) has been adequately cleared. Where the hospital stay of the patients with a T-tube in situ is prolonged, there is a higher incidence of postoperative bacteraemia with a moderate morbidity from biliary leakage after T-tube withdrawal. We report here a case as well as methods designed to prevent tube dislocation and alternatives to T-tube insertion after choledochotomy, whether performed open or laparoscopically.
authors.affiliation: Department of General Surgery, The University of the West Indies Cave Hill Campus, Queen Elizabeth Hospital, Barbados.
authors.forename: Zbar Andrew
authors.initials: ZA
authors.lastname: Paul
authors.forename: Ramesh
authors.initials: R
authors.lastname: Jonnalagadda
authors.forename: Chiappa
authors.initials: C
authors.lastname: Antonio
mesh_terms: D000328:Adult; D042883:Choledocholithiasis / Q000000981:diagnostic imaging / Q000601:surgery*; D002768:Choledochostomy; D020878:Device Removal; D004322:Drainage / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D011475:Prosthesis Failure; D011859:Radiography