Clinical Analysis of Laparoscopic Common Bile Duct Primary Suture and T-Tube Drainage in the Treatment of Common Bile Duct Stones

J Laparoendosc Adv Surg Tech A. 2023 Jul;33(7):622-625. doi: 10.1089/lap.2022.0485. Epub 2023 May 11.

Abstract

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.

Keywords: T-tube drainage; choledocholithiasis; laparoscope; primary suture.

MeSH terms

  • Choledocholithiasis* / complications
  • Choledocholithiasis* / surgery
  • Common Bile Duct / surgery
  • Drainage / adverse effects
  • Gallstones* / complications
  • Gallstones* / surgery
  • Humans
  • Laparoscopy* / adverse effects
  • Length of Stay
  • Postoperative Complications / etiology
  • Retrospective Studies
  • Sutures / adverse effects