• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Laparoscopic Common Bile Duct Exploration (lcbde) Using C- Tube, an Alternative Bile Drainage Method

Yoshihide Chino, PhD, Masaki Fujimura, PhD, Isao sato, MD, Seiji Masuda, MD, Makoto Mizutani, PhD, Tomotake Tabata, MD, Atsushi Okita, PhD, Minoru Iida, PhD. Daiichi-Towakai Hospital Endoscopic Surgery Center

INTRODUCTION
Recently, laparoscopic surgery has progressed rapidly as an alternative to open laparotomy in the treatment of common bile duct stones (CBDs). However, there are some problems associated with bile drainage after operations. These problems result from T-tube drainage, which is the traditional bile drainage method. Therefore, we developed a new drainage tube, C-tube (cystic duct tube), which contributes to shorter drainage periods and reduces perioperative complications. C-tube is a type of bile drainage tube, produced by Dr Fujimura in 1980. It has a 1cm metallic section to prevent canal obstruction and is fixed to the cystic duct with an elastic band. Bile leakage from the stump of the cystic duct is prevented by closing the duct with an elastic band as soon as C-tube is removed. The aim of our study is to show the safety and efficacy of LCBDE using C-tube.
METHOD
Between March 2004 and December 2009, 138 patients treated with LCBDE using C-tube were retrospectively reviewed. The median follow up was 12 months. Routine intra-operative and post-operative cholangiographies via C-tube were performed. The evaluated points were operation time, postoperative day of C-tube removal, the length of hospital stays, CBD stone clearance rate, morbidity and mortality.
RESULTS
There were 68 male and 70 female patients. Their mean age was 71±12 years. Previous operations had been performed in 17 patients. CBD stone clearance was performed with choledochotomy (98%) or transcystic exploration (2%). Mean operation time, postoperative C-tube removal time and hospital stays were 207 ±58min, 5.7±2.9 days, 10.8 ±8.0 days, respectively. The results of LCBDE without cholecystitis were significantly and statistically better than those of LCBDE with severe cholecystitis [operation time (min) : 234±62 vs. 181±45 (p<0.01), C-tube removal (days): 6.0±1.6 vs. 4.9±1.5 (p<0.05) , hospital stay (days) : 9.8±3.3 vs. 8.1±3.6 (p < 0.05)]. The CBD stone clearance rate was 98.5%. There was no major morbidity; bile leakage was 0%; common duct stricture 0%; bile originated peritonitis 0%; postoperative pancreatitis 0%). 4(2.9%) minor complications occurred, including 2 unexpected C-tube removals, 1 clip and band migration, and 1 technical error. The mortality rate was 0.7%. (1 acute myocardial infarction in postoperative day 15.)
CONCLUSION
Precise post-operative cholangiography via C-tube reduced missed and recurrent stone rates, and we experienced no bile related morbidity or mortality. Therefore, our evidence suggests that LCBDE using C-tube is a safe and feasible procedure for the laparoscopic treatment of CBD stones.


Session: Poster
Program Number: P355
View Poster

1,018

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube
  • Instagram
  • TikTok

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons