Journal
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
Volume 33, Issue 7, Pages 622-625Publisher
MARY ANN LIEBERT, INC
DOI: 10.1089/lap.2022.0485
Keywords
choledocholithiasis; laparoscope; primary suture; T-tube drainage
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This study compared the therapeutic effects of laparoscopic primary suture and T-tube drainage after common bile duct exploration. It was found that patients in the primary suture group had shorter operation time and postoperative hospital stay compared to the T-tube drainage group. There was no significant difference in postoperative complications and hospitalization expenses between the two groups.
Background: At present, T-tube drainage or primary suture for common bile duct stones is common management.Methods: The clinical data of 100 patients who underwent laparoscopic common bile duct exploration and T-tube drainage or primary suture for common bile duct stones from 2019 to 2021 were analyzed retrospectively, including 50 cases of primary suture and 50 cases of T-tube drainage.Results: The operation time and postoperative hospital stay of patients with primary suture were lower than those in T-tube drainage group (P < .05). There was no significant difference in the incidence of postoperative complications and hospitalization expenses between the two groups (P > .05).Conclusions: It has been suggested that the therapeutic effect of laparoscopic primary suture is better than that of T-tube drainage; although they have different indications, they should be selected according to the specific individual situation of patients.
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