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- 저자 : ( Raj Kamal Jenaw ) (검색결과 1 건)
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( Vikesh Vij ),( Rahul Yadav ),( Jeevan Kankaria ),( Raj Kamal Jenaw ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: Laparoscopic common bile duct exploration (LCBDE) and cholecystectomy as a single-stage treatment of choledocholi thiasis have been shown to be superior when compared to the two stage management. Decompression after supra-duodenal choledochotomy is common practice as it reduces the chance of bile leaks. We conducted a randomized comparative study to compare the feasibility and outcomes in patients undergoing biliary stent insertion versus T-tube drainage following LCBDE via choledochotomy. Methods: The study involved 64 patients with choledocholithi asis, half of which underwent biliary decompression after LCB DE using biliary stent and in the other half T-tube was used. Results: Patients in the stent group had significantly shorter op erative time, lesser post-operative complications, lesser hospital stay and earlier return to normal activity (P<0.001). Conclusions: In our study, we found there is a significant re duction in length of hospital stay and morbidity for patients that have ante-grade biliary stent decompression of the CBD post laparoscopic choledochotomy when compared to T-Tube drainage. This implies that ante grade biliary stent insertion is likely to reduce costs and increase overall patient satisfaction.
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