A clinical analysis of complication of laparoscopic common bile duct primary closure surgery with self-releasing single-J tube

Xingfeng Cai; Chaode LU; Xu Xiao

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A clinical analysis of complication of laparoscopic common bile duct primary closure surgery with self-releasing single-J tube

VernacularTitle:腹腔镜胆总管一期缝合术中应用自行脱落单J管并发症的临床分析
Author: Xingfeng CAI ; Chaode LU ; Xu XIAO
Publication Type:Journal Article
Keywords: Laparoscopes; Choledocholithiasis; Postoperative complications; Retrospective studies; Single J-tube
From: Chinese Journal of Postgraduates of Medicine 2016;(2):144-147
CountryChina
Language:Chinese
Abstract: Objective To explore the protective measure and the complication of laparoscopic common bile duct primary closure surgery with self-releasing single-J tube. Methods The clinical data of 35 choledocholithiasis patients having underwent selective operation were retrospectively analyzed from January 2009 to November 2014. The operation was laparoscopic choledocholithotomy, a self-releasing single J-tube was placed in the common bile duct, and the common bile duct was primary closure. The postoperative complication was observed. Results All the patients were operated under laparoscope. The operative time was (120 ± 15) min, and the intraoperative bleeding was (50 ± 15) ml. The levels of diastase was normal or increased slightly 1 d after operation. There were no postoperative bile leakage, bleeding and incision infection. The diet was recovered 2-4 d after operation. Postoperative abdominal X-ray result showed that single-J tube position was good. Two-three weeks after operation, the single-J tube was discharged from the intestinal tract, without intestinal obstruction. The length of stay was (9.3 ± 1.8) d. Open operation with T tube drainage was performed in one case with the complication of stone residue and stenosis of common bile duct. Conclusions In laparoscopic common bile duct primary closure surgery, self-releasing single-J tube can provide security guarantees in patients with choledocholithiasis. Although there are some complications, it has less trauma and quicker recovery, and deserves further popularization and application.