Abstract:Objective:To investigate the safety of primary closure of common bile duct after laparoscopic exploration.
Methods :We retrospectively analyzed the clinical results of laparoscopic common bile duct exploration (LCBDE) for common bile duct stone performed on 113 cases between June 2002 and January 2007. Of which, 61 cases had primary closure of common bile duct (closure group), while 52 cases had Ttube drainage of common bile duct(drainage group).
Results:There was no significant difference in terms of operation time and abdominal drainage time between the two groups (P>0.05). Postoperative hospital stay was shorter and fluid replacement was less in closure group than that in drainage group. Postoperative bile leakage was seen in 4 cases（4/61）in closure group, and 2 cases (2/52) in drainage group (P>0.05). Retained bile duct stones were seen in 2 cases（2/61）in closure group, and 3 cases (3/52) in drainage group (P>0.05). Bile duct recurrent stones was seen in 5 cases（5/61）in closure group, while 4 cases (4/52) in drainage group (P>0.05). Bile peritonitis was seen in 2 cases after T tube removal. There were no cases of postoperative extrahepatic duct stenosis in the two groups.
Conclusions:Primary closure of common bile duct after LCBDE for common bile duct stones is safe.