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T‑tube versus internal drainage tube in laparoscopic common bile duct exploration

The 203 patients who underwent laparoscopic common bile duct exploration for choledocholithiasis were retrospectively analyzed. The patients were divided into internal drainage tube group (n=87) and T-tube group (n=116). Total bilirubin, direct bilirubin, alanine aminotransferase (AST), aspartate am...

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Autores principales: Dong, Hanzhang, Ke, Shaobiao, Zhan, Jiulin, Luo, Mingjian, Liu, Xi, Li, Zhiwei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518648/
https://www.ncbi.nlm.nih.gov/pubmed/37753300
http://dx.doi.org/10.3892/etm.2023.12195
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author Dong, Hanzhang
Ke, Shaobiao
Zhan, Jiulin
Luo, Mingjian
Liu, Xi
Li, Zhiwei
author_facet Dong, Hanzhang
Ke, Shaobiao
Zhan, Jiulin
Luo, Mingjian
Liu, Xi
Li, Zhiwei
author_sort Dong, Hanzhang
collection PubMed
description The 203 patients who underwent laparoscopic common bile duct exploration for choledocholithiasis were retrospectively analyzed. The patients were divided into internal drainage tube group (n=87) and T-tube group (n=116). Total bilirubin, direct bilirubin, alanine aminotransferase (AST), aspartate aminotransferase (ALT), the diameter of common bile duct, number of stones, operation time, intraoperative bleeding, postoperative hospital stay and postoperative complications were compared between the two groups. Possible influencing factors were selected as independent variables, and the operation mode was selected as the dependent variable for multifactor unconditional logistic regression analysis. There were no significant differences in the sex, age, total bilirubin, direct bilirubin, AST, ALT, operation time, intraoperative blood loss, postoperative hospital stay and postoperative biliary leaks between the two groups (P>0.05). The diameter of the common bile duct was smaller and the incidence of multiple stones in the common bile duct was lower in the internal drainage tube group compared with that in the T-tube group (P<0.05). The results of multifactor unconditional logistic regression analysis demonstrated that the diameter of the common bile duct and the number of stones in the common bile duct were associated with the operation mode as influencing factors. In conclusion, Patients with multiple stones in the common bile duct or with a wide diameter of the common bile duct are more likely to have T-tube placed rather than an internal drainage tube.
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spelling pubmed-105186482023-09-26 T‑tube versus internal drainage tube in laparoscopic common bile duct exploration Dong, Hanzhang Ke, Shaobiao Zhan, Jiulin Luo, Mingjian Liu, Xi Li, Zhiwei Exp Ther Med Articles The 203 patients who underwent laparoscopic common bile duct exploration for choledocholithiasis were retrospectively analyzed. The patients were divided into internal drainage tube group (n=87) and T-tube group (n=116). Total bilirubin, direct bilirubin, alanine aminotransferase (AST), aspartate aminotransferase (ALT), the diameter of common bile duct, number of stones, operation time, intraoperative bleeding, postoperative hospital stay and postoperative complications were compared between the two groups. Possible influencing factors were selected as independent variables, and the operation mode was selected as the dependent variable for multifactor unconditional logistic regression analysis. There were no significant differences in the sex, age, total bilirubin, direct bilirubin, AST, ALT, operation time, intraoperative blood loss, postoperative hospital stay and postoperative biliary leaks between the two groups (P>0.05). The diameter of the common bile duct was smaller and the incidence of multiple stones in the common bile duct was lower in the internal drainage tube group compared with that in the T-tube group (P<0.05). The results of multifactor unconditional logistic regression analysis demonstrated that the diameter of the common bile duct and the number of stones in the common bile duct were associated with the operation mode as influencing factors. In conclusion, Patients with multiple stones in the common bile duct or with a wide diameter of the common bile duct are more likely to have T-tube placed rather than an internal drainage tube. D.A. Spandidos 2023-09-06 /pmc/articles/PMC10518648/ /pubmed/37753300 http://dx.doi.org/10.3892/etm.2023.12195 Text en Copyright: © Dong et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Articles
Dong, Hanzhang
Ke, Shaobiao
Zhan, Jiulin
Luo, Mingjian
Liu, Xi
Li, Zhiwei
T‑tube versus internal drainage tube in laparoscopic common bile duct exploration
title T‑tube versus internal drainage tube in laparoscopic common bile duct exploration
title_full T‑tube versus internal drainage tube in laparoscopic common bile duct exploration
title_fullStr T‑tube versus internal drainage tube in laparoscopic common bile duct exploration
title_full_unstemmed T‑tube versus internal drainage tube in laparoscopic common bile duct exploration
title_short T‑tube versus internal drainage tube in laparoscopic common bile duct exploration
title_sort t‑tube versus internal drainage tube in laparoscopic common bile duct exploration
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518648/
https://www.ncbi.nlm.nih.gov/pubmed/37753300
http://dx.doi.org/10.3892/etm.2023.12195
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