关键词: 一期缝合, 腹腔镜检查, 胆总管结石

Abstract: 【Abstract】 Objective To investigate the feasibility and introduce the experience of primary suture of common bile duct after bile duct exploration. Methods Fifty-four cases with choledocholithiasis were presented and underwent laparoscopic common bile duct exploration with primary closure from December 2010 to June 2015. The clinical effect and our experience were discussed and analyzed. Results The operation time ranged from 68 min to 137 min（average 92 min）. Operative bleeding was from 20 mL to 150 mL（average 82 mL）. Postoperative hospital stay was 5~14 days（average 6.8 days）. Postoperative bile leakage occurred in three cases and was healed by abdominal drainage for 7 days to 12 days. All the patients were followed for one months to 3 years, and the residual stones and biliary stricture were not found. Conclusions The management of laparoscopic common bile duct exploration in one stage suture showed less trauma, short hospital stay and less complications. Suggestion is the grasp of the indications and surgical skills before operation.

Key words: Laparoscopy, Primary suture, Common bile duct calculi