• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

胆总管T管引流的并发症

Complications of T-tube drainage of the common bile duct.

作者信息

Gillatt D A, May R E, Kennedy R, Longstaff A J

出版信息

Ann R Coll Surg Engl. 1985 Nov;67(6):370-1.

PMID:4073767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2498080/
Abstract

The complications associated with T-tube drainage of the common bile duct following biliary surgery were studied prospectively. A high rate of complications especially associated with T-tube removal was found. Biliary leakage and bacteraemia were the two main problems though in most cases caused minimal clinical upset. Alternatives to T-tube drainage are discussed. It is suggested that if T-tubes are to be used broad spectrum antibiotic cover should be employed at the time of removal.

摘要

对胆道手术后胆总管T管引流相关并发症进行了前瞻性研究。发现并发症发生率较高，尤其是与T管拔除相关的并发症。胆漏和菌血症是两个主要问题，不过在大多数情况下临床不适最小。讨论了T管引流的替代方法。建议如果要使用T管，在拔除时应使用广谱抗生素预防。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e636/2498080/261769678d98/annrcse01535-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e636/2498080/261769678d98/annrcse01535-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e636/2498080/261769678d98/annrcse01535-0037-a.jpg

相似文献

1
Complications of T-tube drainage of the common bile duct.胆总管T管引流的并发症
Ann R Coll Surg Engl. 1985 Nov;67(6):370-1.
2
T-tube drainage of the common bile duct choleperitoneum: etiology and management.胆总管 T 管引流术后胆漏：病因与处理。
J Visc Surg. 2012 Jun;149(3):e172-8. doi: 10.1016/j.jviscsurg.2012.03.008. Epub 2012 Apr 24.
3
Incidence of bile infection in biliary lithiasis. Effects on postoperative bacteremia of choledochoduodenostomy, T-tube drainage, and primary closure of the common bile duct after choledochotomy--a prospective clinical trial.胆石症中胆汁感染的发生率。胆总管十二指肠吻合术、T管引流及胆总管切开术后胆总管一期缝合对术后菌血症的影响——一项前瞻性临床试验。
Am Surg. 1984 May;50(5):236-40.
4
Choledochotomy for biliary lithiasis: T-tube drainage or primary closure. Effects on postoperative bacteremia and T-tube bile infection.胆总管切开取石术治疗胆石症：T管引流或一期缝合。对术后菌血症和T管胆汁感染的影响。
Am J Surg. 1983 Aug;146(2):254-6. doi: 10.1016/0002-9610(83)90385-9.
5
Choledochotomy for biliary lithiasis: is routine T-tube drainage necessary? A prospective controlled trial.胆总管切开取石术治疗胆石症：常规放置T管引流是否必要？一项前瞻性对照试验。
Acta Chir Scand. 1990 May;156(5):387-90.
6
Antegrade biliary stenting versus T-tube drainage after laparoscopic choledochotomy--a comparative cohort study.腹腔镜胆总管切开术后顺行胆道支架置入术与T管引流术的比较队列研究
Hepatogastroenterology. 2006 May-Jun;53(69):330-4.
7
Laparoscopic exploration of common bile duct with primary closure versus T-tube drainage: a randomized clinical trial.腹腔镜胆总管探查一期缝合与T管引流的随机临床试验
J Surg Res. 2009 Nov;157(1):e1-5. doi: 10.1016/j.jss.2009.03.012. Epub 2009 Apr 18.
8
Bile peritonitis after routine T-tube removal.常规T管拔除后胆汁性腹膜炎
J Med Soc N J. 1981 Jul;78(7):532-3.
9
Biliary drainage tube evaluation after common bile duct exploration for choledocholithiasis.胆总管探查取石术后胆道引流管评估
Hepatogastroenterology. 2003 Mar-Apr;50(50):315-21.
10
Biliary peritonitis requiring reoperation after removal of T-tubes from the common bile duct.胆总管T管拔除后需再次手术的胆汁性腹膜炎
Am J Surg. 2005 Sep;190(3):430-3. doi: 10.1016/j.amjsurg.2005.04.015.

引用本文的文献

1
Reinterventions following laparoscopic cholecystectomy and bile duct exploration. A review of prospective data from 5740 patients.腹腔镜胆囊切除术和胆管探查术后的再次干预。来自 5740 例患者的前瞻性数据回顾。
Surg Endosc. 2022 May;36(5):2809-2817. doi: 10.1007/s00464-021-08568-x. Epub 2021 Jun 2.
2
T-tube no T-tube for biliary tract reconstruction in adult orthotopic liver transplantation: An updated systematic review and meta-analysis.成人原位肝移植中胆管重建使用或不使用T管：一项更新的系统评价和荟萃分析
World J Gastroenterol. 2021 Apr 14;27(14):1507-1523. doi: 10.3748/wjg.v27.i14.1507.
3
Case-based review: bile peritonitis after T-tube removal.

本文引用的文献

1
Bile drainage after choledochostomy in man, with some observations on biliary fistula.人体胆总管造口术后的胆汁引流及对胆瘘的一些观察
Surgery. 1955 Jun;37(6):903-10.
2
Electrolyte losses with biliary fistula: the post-choledochostomy acidotic syndrome.胆瘘导致的电解质丢失：胆总管造口术后酸中毒综合征。
Med J Aust. 1955 Feb 5;42(1 6):165-9.
3
The physiological basis for the surgical treatment of nonmalignant disease of the biliary tract.胆道非恶性疾病外科治疗的生理基础。
病例回顾：T管拔除术后胆汁性腹膜炎
Ann R Coll Surg Engl. 2013 Sep;95(6):383-5. doi: 10.1308/003588413X13629960048596.
4
Closure of the Common Duct -Endonasobiliary Drainage Tubes vs. T Tube: A Comparative Study.胆总管闭合术——鼻胆管引流管与T管的比较研究
Indian J Surg. 2010 Oct;72(5):367-72. doi: 10.1007/s12262-010-0122-4. Epub 2010 Nov 23.
5
Sphincter of Oddi-preserving and T-tube-free laparoscopic management of extrahepatic bile duct calculi.保留 Oddi 括约肌和无 T 管的腹腔镜治疗肝外胆管结石。
World J Surg. 2011 Oct;35(10):2283-9. doi: 10.1007/s00268-011-1193-5.
6
Laparoscopic T-tube choledochotomy for biliary lithiasis.腹腔镜胆总管切开取石T管引流术治疗胆石症
JSLS. 2008 Jul-Sep;12(3):326-31.
7
Is a T-tube necessary after common bile duct exploration?胆总管探查术后需要放置T管吗？
World J Surg. 2008 Jul;32(7):1485-8. doi: 10.1007/s00268-008-9475-2.
8
Prospective randomized study of T-tube versus biliary stent for common bile duct decompression after open choledocotomy.开腹胆总管切开术后T管与胆管支架用于胆总管减压的前瞻性随机研究
World J Surg. 2005 Jul;29(7):869-72. doi: 10.1007/s00268-005-7698-z.
9
Primary closure of the common duct over endonasobiliary drainage tubes.经鼻胆管引流管上方胆总管的一期缝合。
World J Surg. 2005 Jul;29(7):865-8. doi: 10.1007/s00268-005-7772-6.
10
Laparoscopic common bile duct exploration.腹腔镜胆总管探查术。
Surg Endosc. 2003 Nov;17(11):1705-15. doi: 10.1007/s00464-002-8917-4. Epub 2003 Sep 10.
Surg Clin North Am. 1958 Apr;38(2):471-85. doi: 10.1016/s0039-6109(16)35439-1.
4
Postoperative T-tube cholangiography. Is antibiotic coverage necessary.术后T管胆管造影。是否需要抗生素覆盖。
Ann Surg. 1980 Jan;191(1):30-4. doi: 10.1097/00000658-198001000-00006.
5
Transduodenal exploration of the common bile duct in a district general hospital.在一家地区综合医院经十二指肠探查胆总管
Ann R Coll Surg Engl. 1984 May;66(3):187-9.
6
Deep-vein thrombosis in patients with fractures of the femoral neck.股骨颈骨折患者的深静脉血栓形成
Br J Surg. 1972 May;59(5):377-9. doi: 10.1002/bjs.1800590512.
7
An assessment of operative choledochoscopy--a worthwhile procedure or not?术中胆道镜检查评估——这一操作是否值得？
Ann R Coll Surg Engl. 1985 Mar;67(2):96-8.
8
An experimental evaluation of the types of material used for bile duct drainage tubes.胆管引流管所用材料类型的实验评估
Br J Surg. 1976 Jun;63(6):440-5. doi: 10.1002/bjs.1800630608.
9
Complications of supraduodenal choledochotomy: a comparison of three methods of management.十二指肠上段胆总管切开术的并发症：三种处理方法的比较
Br J Surg. 1976 Oct;63(10):754-8. doi: 10.1002/bjs.1800631007.
10
Micro-organisms in the bile. A preventable cause of sepsis after biliary surgery.胆汁中的微生物。胆道手术后败血症的一个可预防原因。
Ann R Coll Surg Engl. 1977 Jul;59(4):328-34.