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T tube cholangiography

Sami Daldoul, Aymen Mabrouk, Ikram Messoudi, Anis Ben Dhaou, Sofiène Sayari, Aymen Baccari, Faten Souai, Mounir Ben Moussa
BACKGROUND: Biliary lithiasis is the most common surgical disease in Tunisia. Multiple bile duct stones are one of his most rare complications.It poses real problems with the best therapeutic approach. AIMS: To analyze the results of conventional surgery for multiple bile duct stones by comparing two techniques: The choledochotomy for stoneextraction followed by external biliary drainage and biliary-enteric anastomosis, to identify and to analyze the factors influencing the therapeuticchoice...
November 2016: La Tunisie Médicale
Safi Dokmak, Béatrice Aussilhou, Emilia Ragot, Camille Tantardini, François Cauchy, Philippe Ponsot, Jacques Belghiti, Alain Sauvanet, Olivier Soubrane
Lateral injury of the bile duct can occur after cholecystectomy, bile duct dissection, or exploration. If direct repair is not possible, conversion to bilioenteric anastomosis can be needed with the risk of long-term bile duct infections and associated complications. We developed a new surgical technique which consist of reconstructing the bile duct with the round ligament. The vascularized round ligament is completely mobilized until its origin and used for lateral reconstruction of the bile duct to cover the defect...
September 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Bahman Darkahi, Håkan Liljeholm, Gabriel Sandblom
INTRODUCTION: The aim of the study was to evaluate the safety and feasibility of laparoscopic common bile duct exploration (LCBDE) through cholangiotomy with T-tube placement in one séance for common bile duct stones (CBDS). METHODS: Between January 2005 and December 2010, a total of 99 patients with CBDS stones undergoing LCBDE with T-tube insertion at Enköping Hospital, Sweden, were registered prospectively. All patients were followed up by review of the patient records according to a standardized protocol...
2016: Frontiers in Surgery
Nuria Estellés Vidagany, Carlos Domingo Del Pozo, Nuria Peris Tomás, Jose Ángel Díez Ares, Antonio Vázquez Tarragón, Francisco Blanes Masson
BACKGROUND: The choice of surgical technique to extract stones from the common bile duct (CBD) depends on local experience, anatomical characteristics and also on the size, location and number of stones. Most authors consider choledochotomy an alternative to failed transcystic exploration, although some use it exclusively. Although the CBD is traditionally closed with T-tube drainage after choledochotomy, its use is associated with 11.3-27.5 % morbidity. This study examined the efficacy of laparoscopic CBD exploration (LCBDE) with primary closure for the treatment of CBD stones using intraoperative cholangiography (IOC)...
May 2016: Surgical Endoscopy
Whanbong Lee, Jungnam Kwon
BACKGROUNDS/AIMS: Common bile duct (CBD) exploration has been a procedure necessary to remove stones which are not removable by endoscopic sphincterotomy (EST). T-tube was installed mainly in the concern of bile leakage after procedure. But T-tube itself can only cause bile peritonitis and thus, prolonged discomfort and care after operation. In addition, in the era of laparoscopy, T-tube insertion adds much operation time and is technically difficult for installation during the procedure...
May 2013: Korean Journal of Hepato-biliary-pancreatic Surgery
Jian-Fei Zhang, Zhao-Qing Du, Qiang Lu, Xue-Min Liu, Yi Lv, Xu-Feng Zhang
Open surgery with common bile duct (CBD) exploration and T tube drainage are still traditionally performed in a large amount of selected patients with cholelithiasis and choledocholithiasis. Confirmation of CBD clearance via T tube cholangiography after surgery is a routine procedure before T tube removal. The present study aims at investigating potential risk factors associated with residual stones in CBD via T tube cholangiography.Patients undergoing open CBD exploration and T tube drainage for choledocholithiasis in the hospital were enrolled retrospectively from January 2011 to December 2013...
July 2015: Medicine (Baltimore)
Jiang Li, Jin-Zhen Cai, Qing-Jun Guo, Jun-Jie Li, Xiao-Ye Sun, Zhan-Dong Hu, David K C Cooper, Zhong-Yang Shen
Mesenchymal hamartomas of the liver (MHLs) in adults are rare and potentially premalignant lesions, which present as solid/cystic neoplasms. We report a rare case of orthotopic liver transplantation in a patient with a giant MHL. In 2013, a 34-year-old female sought medical advice after a 2-year history of progressive abdominal distention and respiratory distress. Physical examination revealed an extensive mass in the abdomen. Computed tomography (CT) of her abdomen revealed multiple liver cysts, with the diameter of largest cyst being 16 cm × 14 cm...
May 28, 2015: World Journal of Gastroenterology: WJG
Tegpal Atwal, Mariel Pastrana, Bimaljit Sandhu
Biliary tract complications remain a common source of morbidity and mortality in liver transplant (LT) recipients with an estimated incidence of 5-30% after orthotopic LT and a mortality rate of up to 10%. Biliary complications after LT may be related to various factors including hepatic artery thrombosis or stenosis, ischemia reperfusion injury, immunologic injury, infections, donor pool, and technical issues which include imperfect anastomosis and T-tube-related complications. Management of the detected biliary complications includes nonsurgical and surgical methods...
March 2012: Journal of Clinical and Experimental Hepatology
Jose B Lledó, Sebastian M Barber, Jose C Ibañez, Antonio G Torregrosa, R Lopez-Andujar
INTRODUCTION: Mirizzi syndrome (MS) is a rare complication of cholelithiasis. The objective of this study was to assess the current incidence of MS in our area and present our experience in the clinical, diagnostic, and therapeutic management, focussing in laparoscopic approach. MATERIALS AND METHODS: We prospectively analyzed 35 cases of MS between January 2006 and November 2012, collecting information regarding demographics, clinical management, diagnostic methods, surgical procedure, postoperative morbidity, and follow-up...
December 2014: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Harjeet Singh, Rahul Gupta, Lakhbir Dhaliwal, Rajinder Singh
Choledochal cysts are a congenital disorder of the bile duct, usually presenting in childhood. As they cause weakening of the wall of the bile duct, any distal obstruction, infection or reflux of amylase-rich fluid in the biliary tract can predispose to spontaneous perforation. A 25-year-old pregnant woman at 35 weeks of gestation presented with acute abdominal and fetal distress. On emergency laparotomy, common bile duct perforations were detected. T-tube drainage and caesarean section were performed. A t-tube cholangiogram revealed the diagnosis of a choledochal cyst with an abnormal pancreatobiliary junction and chronic pancreatitis...
November 14, 2014: BMJ Case Reports
F Graur, H Neagos, A Cavasi, N Al Hajjar
We report a rare cause of biliary cast secondary to cholangitis and pancreatitis, in a 60 year old female patient with pancreas divisum. She was admitted in our hospital with an acute pancreatitis (alcoholic etiology was excluded) complicated with pancreatic abscess and obstructive jaundice. The patient had undergone a complex surgical intervention: cholecystectomy,choledocotomy with extraction of the biliary thrombus,external biliary drainage through a T tube, evacuation of the pancreatic abscess, sequestrectomy, peritoneal lavage and multipledrainages...
September 2014: Chirurgia
Atsushi Nanashima, Hajime Isomoto, Takafumi Abo, Takashi Nonaka, Tomohito Morisaki, Junichi Arai, Katsunori Takagi, Ken Ohnita, Hiroyuki Shoji, Shigetoshi Urabe, Takemasa Senoo, Goshi Murakami, Takeshi Nagayasu
BACKGROUND: Photodynamic therapy (PDT) is a promising treatment option for local control of remnant cancer after surgical resection or biliary stenosis by the unresectable tumor in patients with bile duct carcinomas (BDC). To achieve effective tumor necrosis, an appropriate approach to laser irradiation is necessary. METHODS: The efficacy of endoscopy-guided PDT using porfimer (n=12) or talaporfin sodium (n=13) was investigated by evaluating the transhepatic biliary routes and endoscopic retrograde biliary (ERB) routes in 25 patients with BDC...
March 2014: Annals of Translational Medicine
S Nasseri-Moghaddam, H Nokhbeh-Zaeem, Z Soroush, S Bani-Solaiman Sheybani, M Mazloum
The ampulla of Vater is commonly located in the posteromedial wall of the second portion of the duodenum. At times, the ampulla of Vater may be found at uncommon sites such as the third and fourth portions of the duodenum, the duodenal bulb and the stomach. We found the ampulla of Vater in the pyloric channel in a 44 year old patient who had undergone surgery for acute cholecystitis. An intra-operative T-tube cholangiography revealed distal narrowing. The major papilla was not found during endoscopic retrograde cholangiopancreatography (ERCP) and a more accurate T-tube cholangiography revealed that the common bile duct opened in the distal stomach, probably in the pylorus...
March 2011: Middle East Journal of Digestive Diseases
Manash Ranjan Sahoo, Anil Kumar Thimmegowda, Syama Sundar Behera
AIM: To assess the feasibility, safety of rigid tubal ligation scope in laparoscopic common bile duct (CBD) exploration. MATERIALS AND METHODS: Rigid nephroscope was used for laparoscopic CBD exploration until one day we tried the same with the rigid tubal ligation scope, which was passed easily into CBD both proximally and distally visualising the interior of the duct for presence of stone that were removed using endoscopic retrograde cholangiopancreaticography (ERCP) basket...
April 2014: Journal of Minimal Access Surgery
Zhi-Tao Dong, Guo-Zhong Wu, Kun-Lun Luo, Jie-Ming Li
BACKGROUND: Laparoscopic common bile duct exploration (LCBDE) is now one of the main methods for treating choledocholithiasis accompanied with cholelithiasis. The objective of our study was to assess the safety and effectiveness of laparoscopic primary closure for the treatment of common bile duct (CBD) stones compared with T-tube drainage. METHODS: Patients who underwent CBD stones were studied prospectively from 2002-2012 in a single center. A total of 194 patients were randomly assigned to group A (LCBDE with primary closure) with 101 cases and group B (LCBDE with T-tube drainage) with 93 cases...
June 15, 2014: Journal of Surgical Research
Andrea Liverani, Mirko Muroni, Francesco Santi, Tiziano Neri, Gerardo Anastasio, Marco Moretti, Francesco Favi, Luigi Solinas
The optimal timing and best method for removal of common bile duct stones (CBDS) associated with gallbladder stones (GBS) is still controversial. The aim of this study is to investigate the outcomes of a single-step procedure combining laparoscopic cholecystectomy (LC), intraoperative cholangiography (IOC), and endoscopic retrograde cholangiopancreatography (ERCP). Between January 2003 and January 2012, 1972 patients underwent cholecystectomy at our hospital. Of those, 162 patients (8.2%; male/female 72/90) presented with GBS and suspected CBDS...
December 2013: American Surgeon
Anna Stadnik, Andrzej Cieszanowski, Edyta Maj, Bartosz Cieślak, Agnieszka Anysz-Grodzicka, Krzysztof Zieniewicz, Marek Krawczyk, Olgierd Rowiński
BACKGROUND: To aim of this study was to assess the diagnostic performance of the state-of-the-art magnetic resonance cholangiography (MRC) comprising several 2D and 3D hydrographic sequences in patients after liver transplantation with biliary-enteric and duct-to-duct biliary anastomosis. MATERIAL AND METHODS: Retrospective analysis included MRC examinations of 42 patients (21 men, 21 women) performed from 18 days to 86 months (average, 18.9 months) after liver transplantation...
2013: Annals of Transplantation: Quarterly of the Polish Transplantation Society
Yifan Wang, Yuelong Liang, Weijia Wang, Renan Jin, Xiujun Cai
BACKGROUND: Electrothermal injury of common bile duct is a frequent type of biliary injury. A long-term postoperative course and biliary leakage after removing T-tube are associated with external drainage. A method was developed to repair the injury with a degradable biliary stent instead of T-tube insertion. METHODS: Pigs were divided into a stent repair (SR) group (n = 18), a T-tube repair (TR) group (n = 4), and a suturing repair (SUR) group (n = 4)...
October 2013: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
O O Akute, B J Alegbeleye, A O Afolabi
BACKGROUND: Mirizzi Syndrome is a rare complication of cholelithiasis reported to occur in 1% of all patients with gall stones and an incidence of 0.7-1.4% in all cholecystectomies. It is characterized by an impaction of a large calculus in the Hartman's pouch of the gall bladder (GB) or in the cystic duct, causing an extrinsic obstruction of the common hepatic duct. This can, with time, result in varying degrees of fistula formation between the duct and the GB. Types I, IIa, b and c have been described depending on the circumference of the duct involved in the cholecysto-choledochal fistula...
March 2013: African Journal of Medicine and Medical Sciences
Yu-Long Yang, Li-Jun Shi, Mei-Ju Lin, Hong-Wei Zhang, Jing-Yi Li
Cholangiography is an important method for the diagnosis of biliary complications after orthotopic liver transplantation. The cholangiography after orthotopic liver transplantation presents special challenges, especially in patients with biliary cast/stone and biliary stenosis. We described the T-tube cholangiography combined therapeutic fibro-choledochoscopy for the diagnosis and treatment of biliary cast following after orthotopic liver transplantation. Fourteen patients who developed biliary cast/stone after liver transplantation were analyzed retrospectively...
January 2013: Journal of Nanoscience and Nanotechnology
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