Comparison between primary suture and T tube drainage in 124 cases of laparoscopic choledocholithotomy
10.3760/cma.j.cn115455-20210114-00084
- VernacularTitle:124例腹腔镜下胆总管切开取石一期缝合与T管引流的临床差异比较
- Author:
Min ZHAI
1
;
Ancheng QIN
;
Yi QIAN
;
Bo HUANG
;
Yijie LU
;
Zhimin QIAO
;
Xinwei JIANG
;
Jianwu WU
Author Information
1. 南京医科大学附属苏州医院苏州市立医院普外科，苏州 215000
- Keywords:
Choledocholithiasis;
Laparoscope;
T tube drainage;
Primary suture
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(7):609-612
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical difference between primary suture and T tube drainage in laparoscopic choledocholithotomy.Methods:The clinical data of 124 patients treated by laparoscopic choledocholithotomy in Suzhou Municipal Hospital from December 2018 to February 2020 were retrospectively studied. The patients were divided into the primary suture group (71 cases) and the T tube drainage group (53 cases) according to the different surgical methods, and the differences in the relevant treatment indicators were compared between the two groups.Results:There were no statistically significant differences between the two groups in gender, hypertension, diabetes mellitus, preoperative aspartate aminotransferase, preoperative alanine aminotransferase, preoperative total bilirubin, preoperative common bile duct diameter, postoperative length of stay, total cost of hospitalization, postoperative exhaust time, or postoperative biliary leakage, et al. Compared with the T tube drainage group, the primary suture group had more single choledocholithiasis before operation (33 cases vs. 15 cases), shorter operation time: (100.14 ± 38.90) h vs. (140.45 ± 54.17) h, less intraoperative bleeding: (35.70 ± 30.17) ml vs. (49.53 ± 34.58) ml, and later extraction time of Winslow hole drainage tube after operation: (7.15 ± 2.61) d vs. (5.45 ± 3.35) d, and the differences were statistically significant ( P<0.05). Conclusions:Under the condition of strictly controlling the indications of primary suture and being operated by general surgeons who can skillfully operate laparoscope and choledochoscope, laparoscopic choledocholithotomy for primary suture has better curative effect than T tube drainage, and has higher clinical application value.
