Usefulness of Transcystic Drainage Tube as Bile Duct Drainage after Choledocholithotomy

Ryosuke Kawasaki^{1) 2)}, Takayuki Morita¹⁾, Miyoshi Fujita¹⁾, Yuji Miyasaka¹⁾, Naoto Senmaru^{1) 2)} and Hiroyuki Katoh²⁾

Hokkaido Gastroenterology Hospital, Department of Surgery¹⁾, Hokkaido University Graduate School of Medicine, Surgical Oncology²⁾

To determine the usefulness of transcystic drainage tube (C-tube), we compared the duration of biliary drainage and complications with those of the T-tube. The study included a series of 110 patients with choledocholithiasis-55 cases of T-tube drainage and 55 of C-tube drainage. The frequency of localized peritonitis after drainage tube removal was significantly lower in the C-tube group (p<0.01). Biliary drainage in the C-tube group lasted 6.2 days versus 24.2 days in the T-tube group, significantly shorter (p<0.01). Residual stones were seen in 2 patients in the T-tube group and endoscopically treated, but none in the C-tube group. We conluded that C-tube drainage is more useful in choledocholithiasis surgery because it is safer and shortens tube indwelling time.

Key words
choledocholithiasis, choledocholithotomy, C-tube

Reprint requests
Ryosuke Kawasaki Hokkaido University Graduate School of Medicine, Surgical Oncology N15W7, Kita-ku, Sapporo 060-8638 JAPAN

Accepted
February 27, 2002

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