Complications of Laparoscopic Choledochotomy and Lithotomy for Primary Suture

Xiping Zhu (Tianyou Hospital Affiliated to Wuhan University of Science & Technology, Wuchang, Wuhan, 430064, China)

Abstract


Objective: To explore the non-placement of “T” tube after laparoscopic choledochotomy. feasibility and complication analysis of primary suture bile duct. Methods: Retrospective analysis of January 2013~ December 2016, Laparoscopic choledocholithotomy for primary bile duct suture in 87 cases, Combined with literature, the indications, methods and complications of the operation were summarized and analyzed. Results: There was no operative death in the whole group, Postoperative complications occurred in 5 cases (5.7%), 1 case with jaundice, gradually subsided after 4 days of conservative treatment. Two cases had postoperative bile leakage, to prolong the drainage time of the peritoneal drainage tube and stop by itself. In 1 case, bile duct stenosis occurred. 1 case of residual common bile duct stones. The average postoperative hospitalization was 9 days. Conclusion: Select the right case strictly, Patient and delicate operation, Laparoscopic choledochotomy is safe and feasible.


Keywords


Laparoscopy; Common bile duct; Primary suture; Complications

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References


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DOI: https://doi.org/10.30564/jim.v9i2.2238

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