title: Laparoscopic T-tube placement after common bile duct exploration: a simple technique.
abstract: BACKGROUND
  Laparoscopic T-tube insertion into common bile duct (CBD) can be technically challenging. We describe a technique to facilitate CBD T-tube placement.
  
  
  METHODS
  The T-limb was cut to appropriate size and guttered along one-third of its circumference lengthwise. One end of T-limb was secured to the long stem using a tie. The free end was introduced into the abdomen through the epigastric port. Using nontraumatic graspers, this free end was advanced into the CBD. Once the whole of T-limb was inside, the tie was cut, and the T-tube would spring into place. Choledochotomy was sutured snugly around the T-tube. The long limb was taken out through the lateral port of the abdominal wall.
  
  
  RESULTS
  There was no dislodgment or removal difficulty in all cases. This manoeuvre required <1 minute.
  
  
  CONCLUSIONS
  This technique allows reliable and easier T-tube placement into CBD, requiring no ancillary devices. It shortens the steep learning curve.
  
  
  CONCLUSIONS
  Laparoscopic placement of T-tube in CBD can be safely and easily manipulated in the described technique.
authors.affiliation: Department of General Surgery, Queen's Hospital, Burton, UK.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Kumar
authors.forename: Mavis
authors.initials: M
authors.lastname: Orizu
authors.forename: Edmund
authors.initials: E
authors.lastname: Leung
mesh_terms: D002768:Choledochostomy / Q000295:instrumentation / Q000379:methods*; D003135:Common Bile Duct / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*