Biliary peritonitis requiring reoperation after removal of T-tubes from the common bile duct - 18/08/11
, Abasad Garadaghi, M.D., Golam Ali Jafary, M.D.
Corresponding author. Tel.: +98-411-330-2024; fax: +98-411-5412151.Abstract |
Background |
Bile peritonitis can occur when a T-tube is electively removed from the common bile duct, but this is regarded as a rare complication. Plastic T-tubes are known to increase this risk and should not be used. Latex rubber T-tubes are preferred, but the peritonitis can still occur.
Methods |
Prospective data were collected on 1375 patients who underwent common bile duct exploration between March 20, 1994 and March 20, 2003.
Results |
Thirty-four (2.47%) patients experienced generalized bile peritonitis after T-tube removal from the common bile duct. Mean age was 63.65 years. In all cases, a soft silicon-coated latex rubber T-tube was placed into the bile duct. All T-tubes were removed 21 days after surgery. Thirty-four patients developed acute generalized biliary peritonitis immediately after T-tube removal and required urgent active intervention. The mortality rate was 5.9%, and the mean hospital stay was 14.6 days.
Conclusions |
The most common causes of lack of formation of T-tube tract and operative procedure were unknown and T-tube reinsertion, respectively. T-tube removal can result in significant morbidity and mortality.
Le texte complet de cet article est disponible en PDF.Keywords : Bile peritonitis, Common bile duct, T-tube
Plan
Vol 190 - N° 3
P. 430-433 - septembre 2005 Retour au numéro
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