Primary choledochorrhaphy after common bile duct exploration.

Abstract:

AIM:To prove further the safety of primary closure of the common bile duct. METHOD:Twenty patients among 99 common bile duct explorations underwent primary closure. Pre- and postoperative liver function test, ultrasound and intraoperative cholangiography data, operation time, postoperative complications and the length of postoperative stay were recorded. RESULTS:Nineteen patients did not suffer any biliary complication. One had bile leakage and bile peritonitis, and another had duodenal leakage. One case was complicated by gastric ulcer perforation. The mean postoperative hospital stay except for the 2 patients with complications was 8.72 +/- 0.75 days. Preoperative abnormal liver function tests recovered within 2-3 weeks after the operation. Postoperative ultrasound scan of the biliary tract within 2 months revealed no stenosis and residual stone. CONCLUSION:Primary common bile duct closure is a safe alternative to routine biliary drainage in selected patients.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Tu Z,Li J,Xin H,Zhu Q,Cai T

doi

10.1159/000018706

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

137-9

issue

2

eissn

0253-4886

issn

1421-9883

pii

18706

journal_volume

16

pub_type

临床试验,杂志文章
  • Cost-effective utilization of a private facility to perform outpatient surgery in public hospital waiting list patients.

    abstract:BACKGROUND:Public hospitals' long waiting lists make outpatient surgery in private facilities very attractive provided a standardized protocol is applied. The aim of this study was to assess this kind of innovative collaboration in abdominal surgery from a clinical and economical perspective. METHODS:All consecutive p...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000330788

    authors: Vuilleumier H,Coquelin G,Wasserfallen JB,Demartines N

    更新日期:2011-01-01 00:00:00

  • Truncal vagotomy, antrectomy and Roux-en-Y gastrojejunostomy in the treatment of duodenogastric reflux disease.

    abstract:BACKGROUND/AIMS:The surgical treatment of duodenogastric reflux (DGR), resistant to medical therapy, in patients with intact stomach is difficult to standardize. The aim of this study is to present our experience on 5 patients, all cholecystectomized, with severe DGR disease treated surgically. METHODS:Out of a group ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018583

    authors: Civello IM,Brisinda G,Palermo A,Agresti M,Minelli S,Sganga G,Maria G

    更新日期:1998-01-01 00:00:00

  • Carcinoma of the colon metastatic to the lower gingiva.

    abstract::A case of carcinoma of the colon that metastasized to the lower gingiva is described. The patient who had carcinoma of the colon developed a proliferating lesion at the site of a recent tooth extraction. A few days later, the primary site of the malignancy appeared. The clinical features in such cases were reviewed in...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050166

    authors: Tomikawa M,Higuchi Y,Saku M,Takeshita M,Yoshida K,Sugimachi K

    更新日期:2001-01-01 00:00:00

  • Tumor thrombectomy via a surgically reopened umbilical vein combined with right hemihepatectomy in a patient with hepatocellular carcinoma.

    abstract::This report presents a case of a patient with a huge hepatocellular carcinoma in the right lobe of the liver with an extensive portal venous tumor thrombus extending into the main portal trunk and left portal branch. The patient underwent extended right hemihepatectomy with tumor thrombectomy with direct extraction fr...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000324596

    authors: Soyama A,Eguchi S,Takatsuki M,Hidaka M,Muraoka I,Tomonaga T,Kanematsu T

    更新日期:2011-01-01 00:00:00

  • Adenoviral gene therapy for pancreatic cancer: where do we stand?

    abstract:BACKGROUND:The prognosis of patients with pancreatic cancer is poor. This is mainly caused by the late diagnosis, the aggressive biology and the lack of effective treatment modalities. Adenoviral gene therapy has the potential to selectively treat both primary tumor and (micro)metastatic tissue. METHODS:This review pr...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000145981

    authors: Kuhlmann KF,Gouma DJ,Wesseling JG

    更新日期:2008-01-01 00:00:00

  • Does primary anastomosis with diversion have any advantages over Hartmann's procedure in acute diverticulitis?.

    abstract:BACKGROUND:The optimal treatment for acute complicated diverticulitis is still a matter of debate. We evaluated outcomes of primary anastomosis with proximal diversion (PAD) versus Hartman's procedure (HP) in acute diverticulitis. METHODS:Using the National Inpatient Sample database, we examined the clinical data of p...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000342549

    authors: Masoomi H,Stamos MJ,Carmichael JC,Nguyen B,Buchberg B,Mills S

    更新日期:2012-01-01 00:00:00

  • Efficacy of Peak Hounsfield Units of the Visceral Fat Area in Predicting Postoperative Complications after Pancreaticoduodenectomy.

    abstract:BACKGROUND:Morbidity following pancreaticoduodenectomy (PD) has been reported to remain high. This study sought to measure the peak Hounsfield units (HUs) of visceral attenuation in patients undergoing PD and to assess the quality of adipocytes by comparing these measurements with perioperative factors. METHODS:Patien...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000505060

    authors: Hikita K,Chiba N,Nakagawa M,Koganezawa I,Yokozuka K,Kobayashi T,Sano T,Tomita K,Tsutsui R,Hirano H,Kawachi S

    更新日期:2020-01-01 00:00:00

  • Transhepatic placement of an enteral stent to treat jaundice in a tumor recurrence obstructed afferent loop after a whipple procedure.

    abstract::Tumour recurrence that obstructs the afferent limb, blocking outflow of bile and pancreatic juice, constitutes a major clinical problem after a Whipple procedure. The endoscopic route is often not a possible alternative. Surgery may be difficult and perhaps dangerous to the often very sick patient and decompression wi...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000071760

    authors: Johnsson E,Delle M,Lundell L,Liedman B

    更新日期:2003-01-01 00:00:00

  • Effects of perioperative treatment with TNP-470 on the resistance of colonic anastomoses in rats.

    abstract:AIMS:The present study was designed to evaluate the effects of perioperative treatment with TNP-470 on the resistance of colonic anastomoses. TNP-470 is a drug that was developed as an inhibitor of angiogenesis. METHODS:A colonic anastomosis was constructed in Sprague-Dawley rats. From 4 days before surgery to 4 days ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018820

    authors: García-Olmo DC,Payá J,García-Olmo D

    更新日期:2000-01-01 00:00:00

  • New therapeutic strategies to avoid intra- and extraperitoneal metastases during laparoscopy: results of a tumor model in the rat.

    abstract:BACKGROUND:Therapeutic strategies to prevent port site recurrences in laparoscopy surgery of malignancies have not been investigated until now. METHODS:The effects of taurolidine, heparin, and povidone iodine on the growth of rat and human colon adenocarcinoma as well as gallbladder carcinoma were investigated in vitr...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018754

    authors: Jacobi CA,Peter FJ,Wenger FA,Ordemann J,Müller JM

    更新日期:1999-01-01 00:00:00

  • Vanishing Pancreatic Cysts during Follow-Up: Another Step Towards De-Emphasizing Cyst Size as a Major Clinical Predictor of Malignancy.

    abstract:INTRODUCTION:In the management of pancreatic cystic neoplasms (PCN), size plays a crucial role as the expression of disease progression. While many evidences regarding the natural history of growing pancreatic cysts exist, almost no data are available regarding cysts with a reduction in size. METHODS:Radiological and ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000485199

    authors: Marchegiani G,Andrianello S,Perri G,Bonamini D,De Robertis R,Malleo G,Bassi C,Salvia R

    更新日期:2018-01-01 00:00:00

  • Reversal of Hartmann's procedure after surgery for complications of diverticular disease of the sigmoid colon is safe and possible in most patients.

    abstract:BACKGROUND:Although evidence is growing that most patients who need an operation for diverticular disease of the sigmoid colon can be treated by a single-stage procedure, a two-stage procedure will still be necessary in some patients because of significant sepsis or technical difficulties. The outcomes of 65 patients w...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000091444

    authors: Oomen JL,Cuesta MA,Engel AF

    更新日期:2005-01-01 00:00:00

  • A new method for constructing an ileal J pouch without an enterotomy.

    abstract::The conventional methods of making an ileal J pouch require an enterotomy to introduce a linear stapler. We devised a new surgical technique that removes any need for this enterotomy by using both circular and linear staplers. We applied this method to two patients who underwent a total colectomy for ulcerative coliti...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000092843

    authors: Takeyama H,Akamo Y,Funahashi H,Sawai H,Sato M,Yamamoto M,Manabe T

    更新日期:2006-01-01 00:00:00

  • Malignant insulinoma in ectopic pancreatic tissue.

    abstract:BACKGROUND:Both ectopic pancreatic tissue and malignant insulinoma are rare. We encountered the combination of these rare entities in a patient demonstrating hypoglycemic symptoms. METHOD:A patient with episodic hypoglycemia, non-suppressed serum insulin levels, positive fasting test and a positive localization on bot...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000090998

    authors: Hennings J,Garske U,Botling J,Hellman P

    更新日期:2005-01-01 00:00:00

  • Clinical Outcomes of Proximal Gastrectomy versus Total Gastrectomy for Proximal Gastric Cancer: A Systematic Review and Meta-Analysis.

    abstract:INTRODUCTION:The extent of optimal gastric resection for proximal gastric cancer (PGC) continues to remain controversial, and a final consensus is yet to be met. The current study aimed to compare the perioperative outcomes, postoperative complications, and overall survival (OS) of proximal gastrectomy (PG) versus tota...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000506104

    authors: Zhao L,Ling R,Chen J,Shi A,Chai C,Ma F,Zhao D,Chen Y

    更新日期:2021-01-01 00:00:00

  • Urgent laparoscopic cholecystectomy is the best management for biliary colic. A prospective randomized study of 75 cases.

    abstract:BACKGROUND/AIM:Delay of laparoscopic cholecystectomy after the diagnosis of biliary colic may increase the probability of recurrent emergency admission while awaiting elective cholecystectomy. The aim of this study was to compare the possible advantages and safety of urgent laparoscopic cholecystectomy (ULC) with elect...

    journal_title:Digestive surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000085300

    authors: Salman B,Yüksel O,Irkörücü O,Akyürek N,Tezcaner T,Doğan I,Erdem O,Tatlicioğlu E

    更新日期:2005-01-01 00:00:00

  • Chyle leakage and early enteral feeding following pancreatico-duodenectomy: management options.

    abstract:BACKGROUND:Chyle leaks are a rare complication following abdominal surgery. The aim of this study is to describe the management of chyle leaks following surgery for pancreatico-duodenal malignancy. METHODS:Data were collated from a consecutive series of 105 patients who had undergone a pancreatico-duodenectomy for mal...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000108324

    authors: Malik HZ,Crozier J,Murray L,Carter R

    更新日期:2007-01-01 00:00:00

  • Morphology, viability and functions of suckling pig hepatocytes cultured in serum-free medium at high density.

    abstract:BACKGROUND:In bioartificial liver preparation, serum-contained medium is ordinarily replaced by serum-free medium and hepatocytes are generally cultured at high density. This study was to undertaken to evaluated the dynamic changes in morphology, viability and functions of porcine hepatocytes in serum-free medium at hi...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000064211

    authors: Chen Z,Ding Y,Zhang H

    更新日期:2002-01-01 00:00:00

  • Bariatric surgery: the indications in metabolic disease.

    abstract::As well as the pronounced effect on body mass index (BMI), bariatric surgery is increasingly recognized as being associated with improvements in morbidity and mortality in a range of conditions, from airways disease to cancer. In metabolic disease, the impact of bariatric surgery is particularly obvious with marked im...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000351440

    authors: Neff KJ,le Roux CW

    更新日期:2014-01-01 00:00:00

  • Long-term results of percutaneous radiofrequency ablation of unresectable colorectal hepatic metastases: final outcomes.

    abstract:INTRODUCTION:Percutaneous radiofrequency ablation (PcRFA) provides alternative means of treating patients with unresectable colorectal liver metastases. We previously reported our initial experience in 30 patients treated with PcRFA. We present the final long-term results in these 30 patients. METHODS:The final outcom...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000107717

    authors: Suppiah A,White TJ,Roy-Choudhury SH,Breen DJ,Cast J,Maraveyas A,Hartley JE,Monson JR

    更新日期:2007-01-01 00:00:00

  • Internal drainage of infected pancreatic pseudocysts: safe or sorry?

    abstract:BACKGROUND:External drainage is the traditional surgical therapy for infected pancreatic pseudocyst, although associated with high morbidity and mortality rates. In this study it was determined whether internal drainage is feasible with acceptable postoperative morbidity and recurrence rates. METHODS:A retrospective c...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018776

    authors: Boerma D,van Gulik TM,Obertop H,Gouma DJ

    更新日期:1999-01-01 00:00:00

  • Role of contrast CT in acute lower gastrointestinal bleeding.

    abstract:OBJECTIVE:To evaluate the role of CT abdomen in the localization of acute lower gastrointestinal bleeding. SUMMARY BACKGROUND DATA:The source of bleed in acute lower gastrointestinal bleeding is often difficult to localize. The role of CT in the evaluation of this group of patients has not been clearly addressed. MET...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000080204

    authors: Rajan R,Dhar P,Praseedom RK,Sudhindran S,Moorthy S

    更新日期:2004-01-01 00:00:00

  • Postoperative joint symptoms: a risk factor for pouchitis in ulcerative colitis patients.

    abstract:BACKGROUND:The prevalence and significance of joint symptoms appearing in patients with ulcerative colitis (UC) following a colectomy are unclear. AIM:We investigated the relationship between joint symptoms during steroid tapering following an ileal pouch-anal anastomosis (IPAA) and the cumulative risk for developing ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000093495

    authors: Nakamura M,Ikeuchi H,Nakano H,Uchino M,Noda M,Yanagi H,Yamamura T

    更新日期:2006-01-01 00:00:00

  • Robotics in colorectal surgery.

    abstract::Minimally invasive surgery has been shown to offer many advantages to general surgical patients but has not been widely adopted for colorectal disease. Initial fears surrounding the oncological safety of laparoscopic colectomies have largely subsided but the technical challenges still remain. Surgical robots or telema...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000081350

    authors: Hance J,Rockall T,Darzi A

    更新日期:2004-01-01 00:00:00

  • A systematic review of the efficacy of gum chewing for the amelioration of postoperative ileus.

    abstract:BACKGROUND:Recent trials have shown promising results for the efficacy of gum chewing for the amelioration of postoperative ileus. This finding could have a major clinical impact since gum chewing is relatively harmless and cheap while postoperative ileus has a significant impact on healthcare. METHODS:Systematic revi...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000117822

    authors: de Castro SM,van den Esschert JW,van Heek NT,Dalhuisen S,Koelemay MJ,Busch OR,Gouma DJ

    更新日期:2008-01-01 00:00:00

  • Laparoscopic Surgery for Gallbladder Cancer: An Expert Consensus Statement.

    abstract:BACKGROUND:Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. OBJECTIVE:The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opin...

    journal_title:Digestive surgery

    pub_type: 共识发展会议,杂志文章

    doi:10.1159/000486207

    authors: Han HS,Yoon YS,Agarwal AK,Belli G,Itano O,Gumbs AA,Yoon DS,Kang CM,Lee SE,Wakai T,Troisi RI

    更新日期:2019-01-01 00:00:00

  • A simple novel model to predict hospital mortality, surgical site infection, and pneumonia in elderly patients undergoing operation.

    abstract:BACKGROUND/AIMS:Predicting models of operative morbidity and mortality in the geriatric population are important in the prevention of adverse surgical outcomes. METHODS:A retrospective review of medical records was performed for patients over 80 years of age who underwent gastrointestinal surgery from 1998 to 2008. R...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000274485

    authors: Huang TS,Hu FC,Fan CW,Lee CH,Jwo SC,Chen HY

    更新日期:2010-08-01 00:00:00

  • Long-term survival after radical resection for pancreatic head and ampullary cancer: a potential role for the EGF-R.

    abstract:BACKGROUND/AIM:Pancreatic cancer has a dismal prognosis. Ampullary cancer (defined as cancer of the ampulla of Vater or the distal common bile duct) has a better prognosis and is thought to be a biologically different tumor. The aim of this study was to find factors that could predict survival after radical (R-0) resec...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000100917

    authors: Smeenk HG,Erdmann J,van Dekken H,van Marion R,Hop WC,Jeekel J,van Eijck CH

    更新日期:2007-01-01 00:00:00

  • Electrocoagulation of perianal warts: a word of caution.

    abstract:BACKGROUND:Perianal warts are common, and may be extensive. Electrocoagulation is a recognised management option. METHOD:A 20-year-old male underwent electrocautery of extensive perianal warts. He presented 3 months postoperatively with constipation and inability to defecate. Examination revealed severe perianal stric...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018856

    authors: Ammori BJ,Ausobsky JR

    更新日期:2000-01-01 00:00:00

  • Optimal Timing of Removal of Epidural and Urethral Catheters to Avoid Postoperative Urinary Retention Undergoing Abdominal Surgery.

    abstract:BACKGROUND/AIMS:Postoperative urinary retention (POUR) is one of the most frequent complications of epidural anesthesia. This study aims to clarify risk factors of POUR and to estimate the appropriate timing of urethral catheter removal. METHODS:Between September and December 2014, a retrospective cohort study was con...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000490199

    authors: Hayami S,Ueno M,Kawai M,Kuriyama T,Kawamata T,Yamaue H

    更新日期:2019-01-01 00:00:00