Problems and procedure improvement of T-tube drainage in choledocholithiasis

Abstract

In cholelithiasis, T-tube anaplasty is indicated mainly as a preventive treatment to reduced pressure in biliary tract and residual stones after choledochotomy. Recently, it has offered problems of increased hospitalization and medical cost as well as serious complications such as tubedislocation and fistulasion insufficiency. We designed an improved technique, an extracorporeal guide by retrograde transhepatic route using 28 recent cases in order to resolve the problems of T-tube anaplasty peformed after choledochotomy ten years as one day. The present paper describes usefulness and clinical results of our technique laying stress on image diagnosis.