Laparoscopic lithotomy for choledochlothiasis: primary suture of common bile duct versus T-tube drainage
10.3760/cma.j.cn114798-20200422-00488
- VernacularTitle:腹腔镜下胆总管Ⅰ期缝合治疗胆总管结石临床分析
- Author:
Longqing SHI
1
;
Yunjie LU
;
Donglin SUN
Author Information
1. 苏州大学附属第三医院肝胆胰外科，常州 213000
- From:
Chinese Journal of General Practitioners
2020;19(11):1052-1054
- CountryChina
- Language:Chinese
-
Abstract:
From August 2019 to December 2019, 74 patients with choledocholithiasis underwent laparoscopic lithotomy, including 68 cases with primary suture of common bile duct and 6 cases with T-tube drainage. The operation time, postoperative length of hospital stay, hospitalization cost and complications of the two groups were compared. The operation time and length of postoperative hospital stay in primary suture were shorter than those in T-tube drainage group[ (88.1±29.9) min vs. (144.2±30.7) min; (3.9±1.5) d vs. (7.2±3.8) d, both P<0.05]; the hospitalization cost was lower[ (29 578±1 072) Yuan vs. (37 468±2 844) Yuan, P<0.05]. There was no significant difference in the incidence of postoperative complications between two groups ( P>0.05). The primary suture seems to be superior to T-tube drainage in laparoscopic lithotomy, however, two methods have different indications and should be selected according to the individual conditions of patients.
