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| Safety and Feasibility of Laparoscopic Common Bile Duct Suture for Patients with Choledocholithiasis with History of Biliary Tract Surgery after Endoscopic Drainage |
| LI Defu |
| Qinghai Transportation Hospital, Qinghai Xining 810001, China |
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Abstract Objective: To analyze the effect of primary suture of common bile duct in patients with choledocholithiasis with history of choledocholithiasis treated by laparoscopy after nasobiliary drainage. Methods: From February 2014 to February 2016, 62 cases of choledocholithiasis with history of choledocholithiasis treated by cholangiopancreatic surgery were divided into two groups: control group and observation. Group, 31 cases in each group. The control group and Eisou routine laparoscopic choledochus examination, T tube drainage, the observation group is under laparoscopic nasobiliary drainage. Laparoscopic choledochus primary suture was performed. Results: The white blood cells in the observation group were (12.86±1.86)×109L-1, which were significantly lower than those in the control group (13.95±1.86)×109L-1, P<0.05; The tube time was (5.21±0.28) d, which was significantly lower than that of the control group (32.07±0.54) d, P<0.05; The length of hospital stay was (9.71 ±1.51) d, which was significantly lower than that of the control group (19.32±4.54) d, P<0.05; The length of the operation was (187.86±13.79) min, which was lower than that of the control group (181.65±15.49) min, P>0.05; The total bilirubin was (37.04±13.72) mol/L, lower than that of the control group (45.79±32.94) mol/L, P>0.05. There was no significant difference in postoperative complications between the two groups (P>0.05). Conclusion: Choledocholithiasis with the history of choledocholithiasis with the history of choledochal surgery in the treatment of biliary tract surgery after naso biliary drainage is of good maneuverability and high safety.
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2018, Vol. 24 
