Exploration of common bile duct for treating hepatic cystic echinococcosis.

OBJECTIVE: To compare the clinical efficacy of exploration of common bile duct through cystic duct or T type tube in CE patients.

METHODS: One hundred and fifty six patients with chronic CE received decompression of biliary tract from January 2007 to December 2012 were included. Exploration of common bile duct was performed through cystic duct (n=102) or T type tube (n=54). Psychological reactions were monitored including inconvenient position alteration due to carrying of the drainage tube, anxiety of the folding and prolapse of drainage tube, folding of the drainage tube, and any pain during the body position change.

RESULTS: No significant difference was noticed in the body position alteration discomfort in both groups (P>0.05). Statistical difference was noted in the anxiety of folding and prolapse of draining tube (P<0.05), and improvement of the clinical symptoms (P<0.05).

CONCLUSIONS: A higher possibility of wound, enlarged tube-carrying duration, and lower sense of discomfort, were noticed in patients underwent exploration of common bile duct through T type tube. Higher sense of comfort was reported in patients received exploration of common bile duct through cystic duct tube.