Bile peritonitis after removal of T-tubes from the common bile duct

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Abstract
Bile peritonitis can occur when a T‐tube is electively removed from the common bile duct, but this is regarded as a rare complication. Plastic T‐tubes are known to increase the risk and should not be used. Latex rubber T‐tubes are preferred but the complication can still occur. We present three patients with this complication despite the use of a latex T‐tube. A questionnaire was sent to 107 surgeons in the South East Thames Region. The replies showed that the complication is far more common than generally realized. Based on these replies the risk of bile peritonitis each time a latex T‐tube is electively removed from the common bile duct is calculated to be 0.84 per cent or 1 in every 119 explorations.