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Koledokolithiazis nedeni ile yapılan elektif koledokotomiden sonra rutin T-tüp drenaj gerekir mi?

Authors: Yavuz KAYA;Teoman COŞKUN;Yalçın AKER;Ceyhun YAVUZ;Erdal OKUMUŞ;

Koledokolithiazis nedeni ile yapılan elektif koledokotomiden sonra rutin T-tüp drenaj gerekir mi?

Abstract

T-tube drainage of the common bile duct, following common bile duct exploration for choledocholithiasis, is a common procedure. Despite its important advantages, this procedure has its own morbidity. it has been reported that closure of the common bile duct without T-tube drainage can be done safely in order to avoid the morbidity of the T-tube drainage. in this retrospective study, we compared the postoperative results of the patients who underwent T-tube drainage (n=12) or primary closure (n=11) following common bile duct exploration. There was no difference between the two groups regarding the postoperative complications. Postoperative hospitalisation time was found shorter in primary closure group. p<0.001 (Mann Whitney U-Wilcoxon's test), in summary, primary closure of the common bile duct can be an alternative procedure to T-tube drainage following elective common bile duct exploration for choledocholithiasis,

Koledokolithiazis nedeni ile yapılan koledokotomiden sonra, koledoğun T-tüp ile drenajı yaygın olarak uygulanan bir yöntemdir. Bu yöntem, önemli avantajlara sahip olmakla birlikte, tüpün kendisinden kaynaklanan morbidite taşır. T-tüpün morbiditesinden kaçınmak için, koledoğun T-tüp konulmadan, primer kapatılabileceği bildirilmektedir. Bu çalışmada, elektif koledokotomiden sonra T-tüp drenaj yapılan 72 hasta ile koledoğun primer kapatıldığı 11 hastanın postoperatif sonuçları retrospektif olarak karşılaştırıldı. İki grubun komplikasy onları arasında fark yoktu. Hastanede postoperatif yatış süresi primer kapatma grubunda daha kısa bulundu. p<0.001 (Mann Whitney U-Wilcoxon testi). Sonuç olarak; koledokolithiazis nedeniyle yapılan elektif koledokotomiden sonra, koledoğun primer kapatılması T-tüp drenaja bir alternatif olabilir.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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