Comparison Between Primary Suture and T-Tube Drainage After Laparoscopic Common Bile Duct Exploration(LCBDE)for the Treatment of Cholangiolithiasis in a Hospital in Xizang
Fang Aogong
Basang Dunzhu
Abstract：Objective To compare the efficacy of primary suture versus T-tube drainage in laparoscopic cholecys-tectomy with common bile duct exploration(LCBDE)for treating common bile duct stones in a hospital in Xizang.Methods This study retrospectively analyzes the clinical data of 105 patients with gallstones and concurrent com-mon bile duct stones who underwent LCBDE in the General Surgery Department of a hospital in Xizang from April,2022 to April,2024.Patients were divided into a primary suture group(63 cases)and a T-tube drainage group(42 cas-es)based on the surgical approach.This study compares the surgery time,intraoperative bleeding,postoperative complications,postoperative gastrointestinal recovery time,postoperative indicator recovery,overall postoperative recovery time,hospital stay,and hospitalization costs between the two groups.Results The primary suture group had shorter surgery time,less intraoperative bleeding,shorter hospital stay,lower hospitalization costs,and fewer postoperative complications than the T-tube drainage group(P＜0.05).However,there was no significant difference in postoperative recovery time,indicator recovery,or gastrointestinal recovery time between the two groups(P＞0.05).Conclusion Primary suture after LCBDE for the treatment of common bile duct stones results in shorter surgery time,less intraoperative bleeding,shorter hospital stay,fewer postoperative complications,and is more cost-effective compared to T-tube drainage.
Keywords：Laparoscopic common bile duct explorationCommon bile duct stonesPrimary sutureT-tube drainage
Publication Date：2025-01-27
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 62-67 )