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World J Gastrointest Surg. Mar 27, 2026; 18(3): 115888
Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.115888
Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.115888
Application of T-tube stent external drainage for the prevention of postoperative biliary stricture during choledochojejunostomy
Na Liu, Ming Zhang, Jie Bian, Xing-Kai Meng, Jun Li, Department of Hepatobiliary, Pancreatic and Splenic Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010000, Inner Mongolia Autonomous Region, China
Yan Guo, Department of General Surgery, Inner Mongolia Fourth Hospital, Hohhot 010000, Inner Mongolia Autonomous Region, China
Co-first authors: Na Liu and Ming Zhang.
Author contributions: Liu N was responsible for the study conceptualization and drafting the main body of the manuscript; Liu N and Zhang M contributed equally to this work as co-first authors; Zhang M was in charge of data acquisition, analysis of the manuscript data results, and preparation of tables and figures; Guo Y and Bian J contributed to methodology, validation and data curation; Meng XK contributed to supervision, methodology, resources and writing review and editing; Li J designed the study; all authors reviewed and approved the manuscript.
Supported by Major Project Funding of the Hohhot First Hospital, No. 2022SYY (ZD) 01; Natural Science Foundation of Inner Mongolia Autonomous Region, No. 2023MS08056; Youth Innovation Team Project of the Affiliated Hospital of Inner Mongolia Medical University; and Inner Mongolia Medical University “Zhiyuan” Talent Program, No. ZY20242141.
Institutional review board statement: The study was reviewed and approved by the Medical Ethics Committee of the Affiliated Hospital of Inner Mongolia Medical University, approval No. YJ2024055.
Informed consent statement: The requirement for written informed consent was not needed due to retrospective design of the study.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
Data sharing statement: The data involved in this study can be obtained from the corresponding author.
Corresponding author: Jun Li, MD, PhD, Adjunct Professor, Chief Physician, Department of Hepatobiliary, Pancreatic and Splenic Surgery, The Affiliated Hospital of Inner Mongolia Medical University, No. 1 North Road, Huimin District, Hohhot 010000, Inner Mongolia Autonomous Region, China. ljdoctor1982@163.com
Received: October 29, 2025
Revised: November 27, 2025
Accepted: January 21, 2026
Published online: March 27, 2026
Processing time: 150 Days and 20.8 Hours
Revised: November 27, 2025
Accepted: January 21, 2026
Published online: March 27, 2026
Processing time: 150 Days and 20.8 Hours
Core Tip
Core Tip: In this study, a modified choledochojejunostomy (CJ) technique was proposed. A T-tube was placed at the CJ site to support the reconstructed biliary tract, and external drainage was performed during CJ, which effectively reduced the incidence of postoperative biliary stricture. Compared with traditional internal drainage of the CJ, the incidence of biliary complications such as post-operative biliary leakage was significantly lower, length of hospital stay was reduced and patient postoperative quality of life was greatly improved. This technique has high clinical value and is worthy of clinical promotion and application.