How to close open choledochotomy: primary closure, primary closure with T-tube drainage, or choledochoduodenostomy?

Bülent AYDINLI; Gürkan ÖZTÜRK; Sabri Selçuk ATAMANALP; Bünyami ÖZOĞUL; Şükrü ARSLAN; Ercan KORKUT; Abdullah KISAOĞLU; Abdulmecit KANTARCI; Rüstem Berhan PİRİMOĞLU; Mehmet İlhan YILDIRGAN; Nurhak AKSUNGUR

Makale detayları

How to close open choledochotomy: primary closure, primary closure with T-tube drainage, or choledochoduodenostomy?

Yazarlar:

Bülent AYDINLI | Gürkan ÖZTÜRK | Sabri Selçuk ATAMANALP | Bünyami ÖZOĞUL | Şükrü ARSLAN | Ercan KORKUT | Abdullah KISAOĞLU | Abdulmecit KANTARCI | Rüstem Berhan PİRİMOĞLU | Mehmet İlhan YILDIRGAN | Nurhak AKSUNGUR

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2016 Vol.46 Issue 2, pp.283-286

Belge Tipi:

Makale

Yayın Tarihi:

3/2016

Belge Dili:

İngilizce

Document ID (Org No.):

2000752159

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Background/aim: Although common bile duct stones are generally treated endoscopically, surgery is required if endoscopic removal is impossible. The aim of this study was to compare the surgical options in such patients.  Materials and methods: A total of 282 patients with common bile duct stones underwent open choledochotomy; primary closure was applied in 48 (17.0%), primary closure with T-tube drainage in 81 (28.7%), and choledochoduodenostomy in 153 (54.3%) patients.  Results: Postoperative complications were seen in 8 (16.7%) patients in the primary closure, 33 (40.7%) patients in the primary closure with T-drainage, and 37 (24.2%) patients in the choledochoduodenostomy group. No significant differences were observed among the groups (P > 0.05). The mean postoperative hospital stays in the primary closure, primary closure with T-tube drainage, and choledochoduodenostomy groups were 5.5, 13.5, and 8.9 days, respectively. The mean postoperative hospitalization was significantly shorter in the primary closure group than in the other groups (P < 0.05).  Conclusion: Primary closure is a safe and feasible method in selected patients.

Makale detayları

How to close open choledochotomy: primary closure, primary closure with T-tube drainage, or choledochoduodenostomy?

Yazarlar: Bülent AYDINLI | Gürkan ÖZTÜRK | Sabri Selçuk ATAMANALP | Bünyami ÖZOĞUL | Şükrü ARSLAN | Ercan KORKUT | Abdullah KISAOĞLU | Abdulmecit KANTARCI | Rüstem Berhan PİRİMOĞLU | Mehmet İlhan YILDIRGAN | Nurhak AKSUNGUR

Yayıncı: TUBITAK

Ana Başlıklar: Sağlık teşvikleri

Dergi: Turkish Journal of Medical Sciences 2016 Vol.46 Issue 2, pp.283-286

Belge Tipi: Makale

Yayın Tarihi: 3/2016

Belge Dili: İngilizce

Document ID (Org No.): 2000752159

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Bülent AYDINLI | Gürkan ÖZTÜRK | Sabri Selçuk ATAMANALP | Bünyami ÖZOĞUL | Şükrü ARSLAN | Ercan KORKUT | Abdullah KISAOĞLU | Abdulmecit KANTARCI | Rüstem Berhan PİRİMOĞLU | Mehmet İlhan YILDIRGAN | Nurhak AKSUNGUR

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2016 Vol.46 Issue 2, pp.283-286

Belge Tipi:

Makale

Yayın Tarihi:

3/2016

Belge Dili:

İngilizce

Document ID (Org No.):

2000752159

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144