Transcystic Duct C-Tube Drainage Ensuring Successful Postoperative Endoscopic Sphincterotomy(EST) in Patients with Failure of Preopertive EST: Initial Experience of 12 Cases

Ying Fan, Shuodong Wu, Jing Kong. Department of the Second General Surgery, Shengjing Hospital of China Medical University

Objective To discuss the value of ensuring successful postoperative endoscopic sphincterotomy(EST) of transcystic duct C-tube biliary drainage in patients with failure of preoperative EST.

Methods From Jun 2006 to Oct 2014, 12 cases laparoscopic transcystic duct (C-tube) drainage were performed in our department. All the patients suffered from chronic calculous cholecystitis. Patients selection included 9 cases of common bile duct stone and 3 cases of inflammatory stricture of duodenal papilla with failure of preoperative EST.

Results Laparoscopic placements of C-tube were successful with no obstruction, no bile leakage and no biliary hemorrhage. EST were successfully performed with removal of the common bile duct stones or relief of papilla stricture under the guidance of C-tube postoperatively in all patients. The postoperative C-tube removal time averaged around 2 weeks and patients experienced no fever or jaundice.

Conclusions Laparoscopic transcystic duct C-tube biliary drainage ensures successful postoperative EST in patients with failure of preoperative EST.

Keywords Endoscopic Sphincterotomy; Biliary Drainage; C-tube



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