Clinical efficacy of intra-biliary drainage versus T-tube drainage following laparoscopic common bile duct exploration
10.3760/cma.j.cn113884-20230618-00172
- VernacularTitle:腹腔镜下胆总管探查术放置内引流管与放置T管的临床疗效分析
- Author:
Kaifang DU
1
;
Xichun WANG
;
Lei WEI
;
Changzhi ZHAO
;
Zhongyi FENG
;
Guiling LANG
Author Information
1. 大连医科大学附属大连市友谊医院肝胆外科 大连市肝胆外科研究所，大连 116001
- Keywords:
Choledocholithiasis;
Laparoscopic common bile duct exploration;
Intra-biliary drainage tube;
T-tube
- From:
Chinese Journal of Hepatobiliary Surgery
2023;29(10):732-736
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical efficacy of intra-biliary drainage versus T-tube drainage following laparoscopic common bile duct exploration (LCBDE) for choledocholithiasis.Methods:The clinical data of 50 patients undergoing LCBDE for choledocholithiasis in Dalian Friendship Hospital of Dalian Medical University from January 2018 to October 2022 were retrospectively analyzed, including 23 males and 27 females, aged (61.3±16.2) years old. Patients were divided into the intra-biliary drainage group and T-tube drainage group. Propensity score matching was used to match the baseline data of the two groups at a 1∶1 ratio. The operation time, intraoperative blood loss, postoperative hospital stay, abdominal drainage tube indwelling time, postoperative bile drainage volume and postoperative complications were compared between the groups.Results:Compared with the T-tube group, the operative time [(155.0±36.5) min vs. (194.4±55.8) min], length of postoperative hospital stay [8.0(7.0, 8.0) d vs. 11.0(8.0, 13.0) d], and abdominal drainage tube indwelling time [5.0(4.0, 6.0) d vs. 6.0(5.0, 8.0) d] were all shorter in the intra-biliary drainage tube group (all P<0.05). The postoperative bile drainage volume was reduced [0 ml vs. 431.4(344.7, 484.3) ml]. No postoperative bile leakage occurred in either group. The intraoperative blood loss, proportion of postoperative residual stone, stone recurrence and biliary stricture were comparable between the two groups (all P>0.05). Conclusion:Intra-biliary tube drainage following LCBDE could be safe and effective for choledocholithiasis. Compared to the classic procedure of T-tube drainage, it may be superior in the operation time, postoperative hospital stay, abdominal drainage tube indwelling time, postoperative bile drainage volume.
