The Effect Comparsion Of Primary Closure And T-Tube Drainage After Laparoscopic Common Bile Duct Exploration

ObjectiveTo compare the effects of primary closure and T-tube drainage after laparoscopic common bile duct exploration(LCBDE).MethodsThe clinical data of 74 patients in our hospital underwent LCBDE, of which, 35 cases underwent primary closure(suture group) and 39 cases underwent T-tube drainage(drainage group) from January 2012 to October 2014 were analyzed retrospectively.ResultsAll 74 patients were cured without conversion to open surgery. There were no significant differences between suture group and drainage group in the average diameter of common bile duct(10.7±1.3mm vs. 10.5±1.6mm), the average number of common bile duct stones(2.6±1.8 vs. 2.8±1.6), and the average diameter of stones(5.4±1.5 mm vs. 5.9±1.6 mm). Likewise, there were no differences between operation time(93.9±25.7min vs. 98.5.6±27.0min), abdominal cavity drainage time(3.8±0.9d vs. 3.4±1.0d), total hospital-stay time(11.6±3.2d vs. 12.3±2.1d) and postoperative recovery time(7.3±1.2d vs. 7.3±1.3d). Nevertheless, the cost of suture group were significantly less comparing to the cost of drainage group(14504.5±2176.3yuan vs. 15940.1±2375.1yuan). There was a patient with residual calculi and a patient with bile leak in drainage group, while there was no complication in suture group.ConclusionComparing to T-tube drainage, primary closure after laparoscopic common bile duct exploration has no significant differences between operation time, abdominal cavity drainage time, total hospital-stay time and postoperative recovery time and has less hospital, and thus, it could be proposed as the method under appropriate indications.