Omentum wrapped tube T tube to prevent bile leakage after extubation.docVIP

Omentum wrapped tube T tube to prevent bile leakage after extubation Keywords: Stubbs T tube bile peritonitis caused by In recent years, Stubbs T tube caused by biliary peritonitis have occurred. Corbert [1] a survey of British doctors after the presumed incidence of 0.84%, internal reports [2] The incidence is 1% ~ 1.2%. Our hospital from January 2000 to January 2007 in 258 cases of bile duct surgery, the long arm of the T tube made of the omentum through the artificial tube, the results of only 1 case occurred after extubation in the abdominal limitations of conventional peritonitis, bile leakage rate of 0.38%. These are as follows. 1 Data and methods 1.1 General Information Common bile duct were performed in this group T-tube drainage 258 cases, male 86 cases, female 172 cases; the average age of 51 years. In which the liver, bile duct stones in 182 cases, 75 cases of pure bile duct stones, biliary ascariasis in 1 case. History of 7 patients with diabetes mellitus, hypoalbuminemia 32 cases, anemia in 11 cases, 8 cases of malnutrition. 1.2 Methods After the common bile duct T tube placed on a suitable latex will be attached to the transverse colon brought the greater omentum from the greater omentum 3 ~ 4cm lower edge of the greater omentum on the stamp A, B two holes, so that A, B tube spacing is equal to T Long Arm in the abdominal cavity length. The long arm T tube through the A, B two holes, will be the end of geographical coverage of omentum omentum tube T tube formation and used ZT fibrin glue or suture fixation. 2 Results 258 cases in this group of patients after 14 ~ 18d conventional pull T tube 224 cases, and the other 34 cases of ascites due to surgery, infection or malnutrition, anemia, hypoalbuminemia, diabetes, etc., to correct a variety of complications after 2 weeks generally no more than I extubation after 45d. In this group one cases of the limitations of conventional extubation after