Primary closure of common bile duct after laparoscopic bile duct exploration: a report of 2 740 patients
10.3760/cma.j.issn.1007-8118.2018.12.005
- VernacularTitle:腹腔镜胆总管探查一期缝合术2740例报告
- Author:
Anping CHEN
1
;
Qiantao ZENG
;
Huabo ZHOU
;
Yuan GAO
;
Yunsheng SUO
;
An LIU
;
Jinheng LIU
;
Shenglong ZHANG
Author Information
1. 610017,成都市第二人民医院肝胆外科
- Keywords:
Laparoscopy;
Common bile duct exploration;
Primary closure
- From:
Chinese Journal of Hepatobiliary Surgery
2018;24(12):807-811
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze our experience in primary closure of common bile duct after laparoscopic bile duct exploration.Methods From June 1992 to March 2018,2 740 patients underwent primary closure of common bile duct after laparoscopic common bile duct exploration in the Second People's Hospital of Chengdu.Results The operations were successfully carried out in 2 534 (92.4％) out of 2 740 patients,of whom 15 patients (0.6％) were converted to open common bile duct exploration.Bile leakage occurred in 113 patients (4.1％).Residual stones were found in 29 patients (1.1％).One patient (0.1％) who had a pancreatic carcinoma died on postoperation day 15.48 patients (1.8％) developed other complications.The total postoperative complication rate was 7.0％ (191/2 740).Conclusion In suitable patients,laparoscopic bile duct exploration with primary closure was feasible,safe and effective.
