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Closure of the Common Duct -Endonasobiliary Drainage Tubes vs. T Tube: A Comparative Study

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Abstract

For the last century T tube drainage of the bile duct has remained standard practice following choledochlithotomy. It vents the biliary tree, provides route for cholangiography and management of residual stones. However, T tubes are associated with significant complications. This retrospective study compared the use of Endonasobiliary drainage tubes and the T tube in 66 patients who underwent open choledocholithotomy for effectiveness and complications. Both groups were statistically comparable. Only 15.15% patients in the Endonasobiliary drainage group, while 45.45% patients in the T tube group developed complications. Severe complications such as biliary peritonitis and intraperitoneal collections were noted only in the T tube group. The Endonasobiliary drainage tube was removed significantly earlier and patients from this group were discharged earlier as compared to those in the T tube. The Endonasobiliary drainage tube is as effective as the T tube in postoperative biliary drainage and allows cholangiograms to be performed. Its use is associated with less complications and it can be removed safely earlier than the T tube. Thus patients have a shorter time with tubes and can be discharged home earlier.

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Authors and Affiliations

  1. Department of General Surgery, Sheri- Kashmir Institute of Medical Sciences, Soura, Kashmir, India

    Mehmood A. Wani, Nisar A. Chowdri, Sameer H. Naqash, Fazl Q. Parray, Rauf Ahmad Wani & Nazir A. Wani

  2. Bypass Crossing, Hyderpora, Srinagar, Jammu and Kashmir, India, 190014

    Mehmood A. Wani

Authors
  1. Mehmood A. Wani
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  2. Nisar A. Chowdri
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  3. Sameer H. Naqash
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  4. Fazl Q. Parray
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  5. Rauf Ahmad Wani
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  6. Nazir A. Wani
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Correspondence to Mehmood A. Wani.

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Wani, M.A., Chowdri, N.A., Naqash, S.H. et al. Closure of the Common Duct -Endonasobiliary Drainage Tubes vs. T Tube: A Comparative Study. Indian J Surg 72, 367–372 (2010). https://doi.org/10.1007/s12262-010-0122-4

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  • DOI: https://doi.org/10.1007/s12262-010-0122-4

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