Lygidakis N J
Surg Gynecol Obstet. 1986 Aug;163(2):153-5.
Eight patients from a total number of 105 who underwent, after choledochotomy and T-tube drainage, removal of the T tube had severe adverse reactions develop secondary to bacteremia from the presence of bile infection and possibly to minor trauma secondary to T-tube removal. Taking into consideration the various characteristics of the aforementioned patients in terms of clinical presentation and of operative findings, we conclude that, in clinical practice, T-tube drainage after choledochotomy has to be avoided in the presence of the aforementioned clinical and operative elements. For those patients, it could be safer to consider either primary closure of the coledochotomy or internal biliary drainage through either choledochoduodenostomy or sphincteroplasty.
在105例行胆总管切开术和T管引流术的患者中，有8例在拔除T管后出现严重不良反应，这些反应继发于胆汁感染引起的菌血症，也可能继发于拔除T管后的轻微创伤。考虑到上述患者在临床表现和手术发现方面的各种特征，我们得出结论，在临床实践中，存在上述临床和手术因素时，应避免胆总管切开术后行T管引流。对于这些患者，考虑直接缝合胆总管切开处或通过胆总管十二指肠吻合术或括约肌成形术进行胆道内引流可能更安全。
