Comparison of unidirectional barbed suture and traditional suture for closing choledoch incision
10.3969/j.issn.1007-1989.2016.06.011
- VernacularTitle:腹腔镜下倒刺缝线与可吸收缝线缝合胆总管切口的效果比较研究
- Author:
Hong XIAO
;
Ke SUN
;
Gang TIAN
;
Sineng YIN
;
Lianbo LI
- Keywords:
choledoch calculi;
primary suture;
QuillTM SRS;
laparoscope
- From:
China Journal of Endoscopy
2016;22(6):40-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of continuous suture by QuillTM SRS self-retaining suture for closing choledoch incision. Methods From January 2015 to October 2015, 66 patients with gall bladder calculi combined with common bile duct stones who received laparoscopic gallbladder excision, common bile duct explo-ration, laparoscopy choledochotomy, suture choledoch immediately were randomly divided into two groups, experi-mental group using QuillTM SRS self-retaining suture for closing choledoch incision and control group using tradi-tional absorbable suture for closing choledoch incision. Then observe the operation time, the risk of bile leakage oc-curred in the operation and the risk of bile leakage after operation. Results All patients successfully completed in laparoscopic surgery without laparotomy. Operation time, the risk of bile leakage occurred during operation in exper-imental group has statistically significant difference compared with control group ( < 0.05). The operation time and incidence of intraoperative bile leakage of the experimental group was less and lower than control group, while the risk of bile leakage after operation show no statistically difference ( >0.05). Conclusion Compared with interrupted suture by normal sutures, continuous suture by QuillTM SRS self-retaining suture for closing choledoch incision has the characteristics of shorter operation time and lower incidence of intraoperative and postoperative bile leakage. It is worthy of promoting.
