Application of self-detaching single J-tube in primary suture of common bile duct in patients with hepatolithiasis
10.3760/cma.j.cn113884-20250618-00202
- VernacularTitle:自脱落单J型内支架引流管在肝胆管结石患者胆总管一期缝合中的应用研究
- Author:
Tingyu GU
1
;
Zhiyuan YOU
;
Xiaogang XIA
;
Qinlei WANG
;
Ronggui HUANG
;
Ping GUO
;
Gongpeng XIONG
Author Information
1. 厦门大学附属第一医院肝胆胰血管外科，厦门 361003
- Publication Type:Journal Article
- Keywords:
Choledocholithiasis;
Self-detachable single-J internal stent drainage tube;
Primary suture;
Common bile duct exploration
- From:
Chinese Journal of Hepatobiliary Surgery
2025;31(11):832-835
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of a self-detachable single-J internal stent drainage tube in the laparoscopic primary suture of the common bile duct for hepatolithiasis.Methods:Clinical data of 36 patients with hepatobiliary duct stones who underwent laparoscopic common bile duct primary suture combined with self-detached single J-type internal stent drainage at the First Affiliated Hospital of Xiamen University from April 2022 to April 2025 were retrospectively analyzed, including 17 males and 19 females, aged (54.3±8.7) years. All 36 patients underwent choledochoscopic stone extraction, primary common bile duct suture, and drainage with the self-expelling single-J internal stent. Total bilirubin, aspartate transaminase, and alanine transaminase before and 3 days after operation, as well as operation time, intraoperative blood loss, postoperative hospital stay, postoperative complications (bile leakage, cholangitis, intestinal obstruction, and stent retention), and stent expulsion time were collected.Results:All 36 patients successfully underwent the operation. Total bilirubin, aspartate transaminase, and alanine transaminase 3 days after operation showed significant improvement compared to preoperative levels (all P<0.05). The operation time was (86.5±22.6) min, intraoperative blood loss was 34.2 (13.7, 56.8) ml, and the postoperative hospital stay was (6.6±1.8) days. All single-J internal stents were spontaneously expelled via the anus between 6 and 21 days postoperatively, with the expulsion time of (10.7±2.1) days. No single J-type internal stent drainage tube was displaced into the bile duct in all cases, and there were no complications such as intestinal obstruction, bile leakage, cholangitis, or residual internal stent drainage tube. Conclusion:The self-detachable single-J internal stent drainage tube has been applied in the laparoscopic primary suture of the common bile duct for patients with hepatolithiasis, which demonstrated a good safety and effectiveness.
