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《Chongqing Medicine》 2017-20
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Clinical analysis on safety of primary suture in laparoscopic choledocholithotomy

Wu Lei;Peng Linhui;Wang Geping;Song Wenyuan;Zhao Hongyan;Department of Hepatobiliary Surgery,Hainan Provincial Agricultural Reclamation General Hospital;Department of Hepatobiliary Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University;Department of Military Representative Stationed in Urumqi Railway Bureau;  
Objective To explore the feasibility and safety of primary suture in laparoscopic common bile duct exploration(LCBDE)for treating choledocholithiasis.Methods The clinical data in 185 cases of choledocholithiasis underwent LCBDE in Sun Yat-sen Memorial Hospital from March 2010 to October 2015 were retrospectively analyzed.The patients were divided into1 aparoscopic common bile duct exploration and primary suture(LBEPS)group(117cases)and T tube drainage group(68cases)according to different processing modes of common bile duct incision.The operative time,intra-operative blood loss amount and postoperative complications were observed in the two groups.Results All operations were successfully performed in both two groups without converting to laparotomy.The operative time,intra-operative blood loss amounts and postoperative complications had no statistically significant differences between the LBEPS group and T tube drainage group(P0.05).The postoperative hospital stay of the LBEPS group was significantly shorter than that of the T tube drainage group(P0.01).There was no bile duct stricture or stone recurrence during the follow up period in the two groups.Conclusion Under strictly grasping the operation indication,selecting correct suture material and possessing practiced operating skills,primary suture of laparoscopic choledocholithiasis is safe and feasible,can avoid the risk of T tube placing related complications,has short postoperative hospitalization duration and increases postoperative living quality.
【CateGory Index】: R657.42
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