The effects between primary suture and intraoperative indwelling T tube in laparoscopic common bill duct exploration

Objective:To compare the effects between primary suture and intraoperative indwelling T tube in laparoscopic common bill duct exploration(LCDBDE).Methods:One hundred and eighty-six patients treated with LCBDE were randomly divided into the primary suture group(98 cases) and intraoperative indwelling T tube group(88 cases).The operation time,bleeding volume,postoperative hospitalization time,bile loss,hospitalization expense,anal exhaust time,the use time of antibiotics,amount of infusion,transfusion time,gastric function recovery time,postoperative ambulation time,adverse reactions and quality of life between two groups were compared.Results:The postoperative bleeding volume,hospitalization time,bile loss,hospitalization expense,anal exhaust time,the use time of antibiotics,amount of infusion,transfusion time,gastric function recovery time and postoperative ambulation time in the primary suture group were less than those in intraoperative indwelling T tube group(P<0.05 to P<0.01).The total incidence rates of adverse reaction in primary suture group and intraoperative indwelling T tube group were 6.82% and 7.14%,respectively,the difference of which was not statistically significant(P>0.05).According to the evaluation standard of the SF-36 life quality,the dimensions and total score of quality of life in primary suture group were significantly higher than those in intraoperative indwelling T tube group(P<0.01).Conclusions:Compared with the intraoperative indwelling T tube,the effects of primary suture in LCBDE is good,which should be promoted and application.