Application of optimized T-tube support drainage in cholangioenterostomy of pancreaticoduodenectomy

doi:10.19538/j.cjps.issn1005-2208.2017.02.17

Abstract：Objective To investigate the practicability, safety and availability of optimized T-tube support drainage in cholangioenterostomy of pancreaticoduodenectomy for small-diameter (diameter<8mm) bile duct. Methods The clinical data of 166 cases of small-diameter bile duct (diameter <8mm) and normal pancreatic duct, who underwent pancreaticoduodenectomy in Department of HBP Surgery, Changhai Hospital, the Second Military Medical University from August 2009 to August 2014 were analyzed retrospectively. The incidences of biliary fistula, pancreatic fistula and other surgical indicators of optimized T-tube support drainage group (optimization group, n=81) and conventional cholangioenterostomy group (conventional group, n=85) were compared. Results In the optimization group, the incidences of posteprative biliary and pancreatic fistula, bleeding volume in operation, length of stay and postoperative stenosis rate of cholangioenterostomy were lower than those of the conventional group, and the two groups had statistical significance (all P<0.05). Conliusion The optimized T-tube support drainage of cholangioenterostomy is easy to operate with advantages of reducing pancreatic and biliary fistula. Furthermore, there is less bleeding, shorter length of stay and lower postoperative recurrence of stenosis rate of cholangioenterostomy, etc., which is an efficient optimization scheme in cholangioenterostomy of pancreaticoduodenectomy, and is worthy of clinical popularization and application.