Cholangiotomy and lithotomy and T-tube drainage

Total bile duct incision and T-tube drainage are surgical methods for the treatment of bile duct stones. Postoperative indwelling T-tubes help drain bile. Treatment of diseases: gallstones Indication 1. Obstructive suppurative cholangitis with bile duct infarction factors such as bile duct stones or stenosis, tumors, and aphids have been clearly diagnosed. 2. Preoperative jaundice with a history of obstructive jaundice; intraoperative extrahepatic bile duct dilatation (>1.5cm in diameter), or sputum and bile duct stones. 3. Bile duct puncture to extract purulent bile. 4. Intraoperative cholangiography revealed lesions such as bile duct filling defects or stenosis. Contraindications 1, with systemic diseases, can not tolerate surgery. 2, local infection, not suitable for surgery. Preoperative preparation Antibiotics are routinely used before surgery. Surgical procedure 1. Take the right upper abdomen through the rectus abdominis incision and cut into the abdominal cavity layer by layer. 2. The gallbladder adheres to the greater omentum. The window of the gallbladder was opened, and the cystic duct and the gallbladder artery were dissected. The ligation was simple and the gallbladder was removed by antegrade method. 3. Cut the anterior wall of the common bile duct to the common bile duct of the duodenum, remove the stones in the common bile duct with a stone clamp, and rinse the common bile duct with saline. 4. Discharge the t-tube at the common bile duct. 5. Dry the peritoneal exudate, place a negative pressure drainage tube in the hypohepatic space, close the abdomen layer by layer, and the operation is over.