A study on common bile duct primary suture after laparoscopic choledocholithotomy with bile duct decompression tube
10.3760/cma.j.issn.1007-631X.2018.10.016
- VernacularTitle:术中置入胆道减压管在腹腔镜胆总管切开探查术后一期缝合的临床研究
- Author:
Peihu YAN
1
;
Yanling MA
;
Yuling BAI
;
Fuqiang YU
;
Liang GUO
;
Guojun WANG
;
Lei WANG
;
Jiemin WANG
;
Ping JIA
;
Chunmei ZHAO
;
Xiaojuan DONG
;
Xia LI
;
Hao CHEN
Author Information
1. 凉州医院普外三科
- Keywords:
Choledocholithiasis;
Laparoscopes
- From:
Chinese Journal of General Surgery
2018;33(10):861-864
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate intraoperative placement of bile duct decompression drainage tube in CBD primary suture after laparoscopic choledocholithotomy.Methods 152 patients undergoing laparoscopic choledocholithotomy were divided into group A (placement of bile duct decompression drainage tube during operation,82 cases) and group B (no decompression drainage tube placement,70 casas).Results There was no significant difference in operative time and intraoperative bleeding between the two groups (P ＞ 0.05).In group B patients the abdominal drainage tube indwelling time,abdominal drainage volume,peritoneal drainage fluid bilirubin value,postoperative hospitalization time were significantly longer than group A,the difference was statistically significant (P ＜ 0.05).No recurrence of choledocholithiasis and biliary stricture were found in either groups.Conclusions Placement of bile duct decompression drainage tube in laparoscopic choledocholithotomy and CBD primary suture after laparoscopic choledochotomy can significantly reduce the incidence of biliary leakage and shorten the postoperative hospital stay.
