关键词: 一期缝合, 胆总管结石, 胆总管, 腹腔镜

Abstract: ［Abstract］ Objective To study the clinical effect of laparoscopic common bile duct exploration （LCBDE） with primary closure in the treatment of choledocholithiasis and summarize experience. Methods A retrospective analysis of 41 patients from 2013 to 2017 in our hospital underwent LCBDE with primary closure（LCBDE with primary closure group）were analyzed. Another 43 patients during the same period received laparotomy choledocholithotomy with T tube drainage were assigned to control group （T tube group）. Results In LCBDE with primary closure group, hospitalization days and exhaust time were less than those in T?tube group, the difference was statistically significant（P<0.05）. There was no statistically significant difference in operative time, bleeding volume, bile leakage, wound infection rate and biliary tract stenosis between two groups（P>0.05）. Bile leakage occurred in one case in LCBDE with primary closure group and two cases in T?tube group, which were all cured by conservative treatment. Conclusion On the basis of strict assurance of indications, laparoscopic common bile duct primary suture is safe and effective for patients with common bile duct stones. But it should be operated by an experienced doctor.

Key words: laparoscopy, primary closure, choledocholithiasis, common bile duct