A case of T-tube dislocation.
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.
Paul
Zbar Andrew
ZA
Department of General Surgery, The University of the West Indies Cave Hill Campus, Queen Elizabeth Hospital, Barbados.
Jonnalagadda
Ramesh
R
Antonio
Chiappa
C
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