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October 8, 1973, Vol 226, No. 2 >
ARTICLE | October 8, 1973

More on T-Tubes

A. E. Carter, FRCS
JAMA. 1973;226(2):197. doi:10.1001/jama.1973.03230020043016.
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ABSTRACT

To the Editor.—  Your issue of June 18 has just come to me. I agree entirely with your sentiment in your editorial on the use of T-Tubes in common bile duct surgery (224:1644, 1973).Undoubtedly, there are circumstances when a T-tube is essential in nonstenotic common bile duct disease but these occasions are very rare. On the contrary, their use in the commonest lesion, the common duct stone, can be avoided almost entirely by the use of a procedure only slightly modified from that described by Kocher in 1911.In my unit, no T-tubes have been placed for common duct stones for almost 15 years, and a review of all the cases operated on up to 1965 showed the procedure to have been extremely satisfactory. Its mortality is no higher than that with any other method, its morbidity very much lower, and the time in hospital for each patient much

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