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《Hunan Medical Journal》 2002-05
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Study on the Application of Primary Suture After Choledochotomy for Stone Removal and Exploration

CHEN Zhi-yong, PENG Xiang, ZHOU Yong-hui (Dept.of General Surgery,The First Foshan Municipal People's Hospital, Foshan,528000,Guangdong,China)  
ObjectivesTo explore the feasibility and efficacy of primary suture after choledochotomy for stone removal and exploration.Methods Fifty-four cases of choledocholith were chosen for primary suture after choledocholithotomy.The selective criteria were:①No intrahepatic biliary calculi by preoperative CT,B-ultrasonography(B-US) and intraoperative B-US or choledochoscopy ;②No residual choledocholith;③Choledochoscope and choledochal sound larger than F8 could pass Odd's sphincter;④slight inflammation on the wall of common bile duct(inner diameter 8 mm) with clear bile secretion.ResultsAmong 54 patients, there were 2 cases of bile leakage and 2 cases of jaundice. All of them recovered after conservative treatment.ConclusionConclusion: Selective primary suture after choledocholithotomy may shorten the duration of hospital stay and relieve pain of the patients.
【CateGory Index】: R615
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