Objective:To study the efficacy and outcome of primary suture and biliary stent insertion after choledochotomy. 
Methods:The records of 61 cases of primary suture and biliary stent insertion after choledochotomy (Group A) were reviewed retrospectively, and compared with those undergoing T-tube drainage  after choledochotomy  (Group B). The postoperative hospital stay time and the time of tube extraction were analyzed. 
Results:All the operations were successful. In group A, stent removal was 7 days and hospital stay 9-12 days (average 10 days) postoperatively; in group B (n=59), time to removal of tube was 17 days and hospital stay was 20-23 days (average 22 days) postoperatively. No severe complications occurred in either group. 
Conclusions:Primary suture and biliary stent insertion after choledochotomy is safe and reliable.