关键词: 三腔引流T管, 胆道探查术, 胆管结石, 改良

Abstract: 【Abstract】〓Objective〓To investigate the effect of a modified three-cavity drainage T-tube on clinical application following bile duct exploration. Methods〓Thirty-three patients with intra-and extra-hepatic bile duct stones underwent open surgical treatment through common duct exploration and removal of biliary stones. Biliary flushing and T-tube imaging were done by using a modified three-cavity T-tube after operation. Results〓All the postoperative courses were uneventful, no bile leakage, cholangitis occurred in the patients. Of 33 cases, Biliary bleeding were controlled completely in 6 cases by postoperative T-tube flushing for 1-3 days. The retained calculus were discovered in 4 cases by T-tube imaging in 5-7 days after operation, and cured using choledochoscopes to remove all the retained calculus. The average length of hospital stay was 7.5 days after surgery. All cases were followed up for 4-42 months. B-ultrasonography, abdominal CT and magnetic resonance cholangiopancreatography found no Bile duct stones recurrent or common bile duct stricture. Conclusion〓The application of the modified T-tube showed good clinical effect in patients underdone common duct exploration.

Key words: Three-cavity T-tube, Bile duct exploration, Bile duct stones, Modified