A clinical study on laparoscopic choledocholithotomy and primary suture in treatment of choledocholithiasis
10.3760/cma.j.issn.1007-631X.2017.04.009
- VernacularTitle:腹腔镜胆总管切开取石术中一期缝合的临床研究
- Author:
Xiaojun ZHANG
;
Mengxing DONG
;
Jun ZHANG
;
Xinchun JIANG
;
Xinhui ZHANG
- Keywords:
Choledocholithiasis;
Laparoscopes;
Choledocholithotomy;
Primary suture
- From:
Chinese Journal of General Surgery
2017;32(4):314-316
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the indication,technology and clinical significance of laparoscopic choledocholithotomy and primary suture in treatment of choledocholithiasis.Methods 78 patients with choledocholithiasis were divided into two groups receiving respectively laparoscopic choledocholithotomy and T-tube drainage treatment,and laparoscopic choledocholithotomy and primary suture after common bile duct exploration.The time of operation,postoperative hospital stay and complications were analyzed and compared.Results Bile leakage occurred in 2 cases in the primary suture group and 3 cases in the T-tube drainage group;No residual stones or biliary stricture was found in either groups.The time of operation,postoperative complications were not statistically different (P ＞ 0.05).The difference in postoperative hospital stay and GI function recovery time between the two groups was statistically significant (P ＜ 0.05).Conclusion In well selected cases,the primary suture of common bile duct after laparoscopic choledocholithotomy is feasible and safe.
