A clinical comparison study of selective primary suture after choledochotomy
10.3760/cma.j.issn.1673-4203.2009.09.008
- VernacularTitle:选择性胆总管探查切口一期缝合的临床对照研究
- Author:
Zhende YANG
;
Qin ZHOU
;
Tinghua LIANG
;
Wei HAN
- Publication Type:Journal Article
- Keywords:
primary suture;
choledochoscope;
common bile duct
- From:
International Journal of Surgery
2009;36(9):597-599
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discussi the feasibility and indication of selective primary suture after choledo-chotomy. Methods The selected patients were intra-operatively randomized to have either primary suture or T tube drainage after choledochotomy. Comparison of the clinical effects in different groups was done. Re-sults Totally 161 cases were randomized into two groups: the primary sutures group 85 cases and the T tube drainage group 76 cases. All patient had no serious or long-term complications. The average hospital stay in primary suture group was significantly shorter (8.5±3.2) d than T-tube group(16.3±6.5) d. Conclusion Under strict indications, the primary suture after choledochotomy is feasible, and has advantages compared with the traditional method.