Electronic Resource
Springer
Surgical endoscopy and other interventional techniques
12 (1998), S. 60-62
ISSN:
1432-2218
Keywords:
Key words: Bile leak — T-tube — Biliary tree
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract. Operations on the common bile duct can result in severe long-term consequences. To prevent some of these complications, it is common practice to drain the biliary tree with a T-tube. The T-tube is usually removed 2 weeks after it was placed. There have been numerous reports of bile leak following T-tube removal in the literature. These leaks can result in bile ascites, biloma, or bile peritonitis. Control of bile leaks can be accomplished in a number of ways, including endoscopically or radiologically placed stents or drains and radiologic techniques to drain the fluid collections. We describe a novel technique that can be utilized at the time of T-tube removal that will allow immediate control of the bile leak and prevent the complications of bile accumulation within the peritoneal cavity. We have performed fluoroscopic removal of T-tubes on two patients and found no complications with the technique. We have successfully visualized the T-tube tract in both patients. The T-tube tract can be visualized at the time of T-tube removal in an effort to prevent the complications of tract disruption and subsequent bile leak.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s004649900595
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