ZHANGCheng , YANGYu-long , WUPing , LINMei-ju , ZHANGHong-wei , SHILi-jun , LIJing-yi , ZHANGHu
  • Department of Biliary Minimally Invasive Surgery, Zhongshan Hospital, Dalian University, Dalian 116001, Liaoning Province, China;
YANGYu-long, Email: YYL516@126.com
Gallbladder-common hepatic duct anastomosis; Angioplasty; Hepatolithus; T-tube; Side hole
10.7507/1007-9424.20140079
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Objective To discuss the clinical effects of T-tube with side holes in the gallbladder-common hepatic duct anastomosis. Methods The clinical data of 60 cases that performed gallbladder-common hepatic duct anastomosis from Jul. 2009 to Jul. 2012 were retrospectively analyzed. The contractile functions and mucosal recovery of gallbladder were compared between the conventional T-tube and T-tube with side holes. Results Twenty-four cases of gallbladder-common hepatic duct anastomosis used conventional T-tube, the gallbladder were not developing in 6-8 weeks after operation by T-tube cholangiography, the gallbladder mucosa of 17 cases were normal without edema, congestion and edema were observed in 6 cases, and the normal gallbladder mucosa structure disappeared in 1 case. The gallbladder were developing in 6-8 weeks after operation by T-tube cholangiography in 36 cases that used T-tube with side holes, the gallbladder mucosa structure had not congestion, edema, and erosion. The gallbladder contractile function were normal. Conclusions The floc, blood clots, and inflammatory substances in gallbladder can be discharged into the intestine or drainage in vitro, and the bile can go into gallbladder and can be concentrated through the T-tube with side holes. Physiological flow of bile can return to normal and the function of gallbladder can recover early.

Citation： ZHANGCheng, YANGYu-long, WUPing, LINMei-ju, ZHANGHong-wei, SHILi-jun, LIJing-yi, ZHANGHu. Clinical Effects of T-Tube with Side Holes in Gallbladder-Common Hepatic Duct Anastomosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(3): 341-344. doi: 10.7507/1007-9424.20140079 Copy

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