{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T04:23:23Z","timestamp":1729139003342,"version":"3.27.0"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[1976,10,1]],"date-time":"1976-10-01T00:00:00Z","timestamp":212976000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1976,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The complications of elective choledochotomy in a prospective study of 116 patients with suspected intraduct calculi are reported. Management included T tube drainage (n = 59), primary closure of the bile duct (n = 29) and choledochoduodenostomy (n = 28).<\/jats:p>\n               <jats:p>Septicaemia occurred in 12 patients (10 per cent), with 1 death, and was unrelated to the type of operation. Thirty patients (26 per cent) developed wound infection; this complication was more common after T tube drainage than the other procedures. Intra-abdominal abscess occurred in 3 patients only. Thrombo-embolism was recorded in 10 patients (9 per cent), 7 of whom had an intraduct drain. Postoperative pancreatitis occurred in 5 patients (4 per cent), with 2 deaths; a third of the patients in whom sphincteroplasty had been combined with supraduodenal choledochotomy developed this complication. Reoperation for stones was required in 3 patients with T tube; 3 patients developed a temporary biliary fistula after choledochoduodenostomy. The hospital stay was 9\u00b75 days after primary closure, 14\u00b70 days after choledochoduodenostomy and 16\u00b78 days after T tube drainage.<\/jats:p>\n               <jats:p>Wound sepsis (32 per cent) and thrombo-embolism (12 per cent) were more common in patients with bacterbilia than in patients where the bile was sterile at operation (13 and 3 per cent respectively). Furthermore, wound sepsis, septicaemia and thrombo-embolism were reduced in patients who were given effective antibiotic cover.<\/jats:p>","DOI":"10.1002\/bjs.1800631007","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T12:50:14Z","timestamp":1172839814000},"page":"754-758","source":"Crossref","is-referenced-by-count":16,"title":["Complications of supraduodenal choledochotomy: A comparison of three methods of management"],"prefix":"10.1093","volume":"63","author":[{"given":"M R B","family":"Keighley","sequence":"first","affiliation":[{"name":"The General Hospital , Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D W","family":"Burdon","sequence":"additional","affiliation":[{"name":"The General Hospital , Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R M","family":"Baddeley","sequence":"additional","affiliation":[{"name":"The General Hospital , Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N J","family":"Dorricott","sequence":"additional","affiliation":[{"name":"The General Hospital , Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G D","family":"Oates","sequence":"additional","affiliation":[{"name":"The General Hospital , Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G T","family":"Watts","sequence":"additional","affiliation":[{"name":"The General Hospital , Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Alexander-Williams","sequence":"additional","affiliation":[{"name":"The General Hospital , Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1976,10,1]]},"reference":[{"key":"2024101614190674900_bib1","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1136\/bmj.2.5552.607","article-title":"Choledochoduodenostomy in treatment of chronic pancreatitis and choledocholithiasis","volume":"2","author":"Burgess","year":"1967","journal-title":"Br. 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