关键词: 腹腔镜, 胆总管结石, 非T管引流

Abstract: 【Abstract】〓Objective〓To investigate the effect of laparoscopic choledocholithotomy with primary suture for common bile duct stones. Methods〓From 2011 May to 2012 October, 56 patients underwent laparoscopic common bile duct exploration and primary suture (without T-tube drainage) for treating choledocholithiasis. Of 56 cases, there were no personal history of common bile duct calculi operation, no stenosis or malformation of bile duct, no malignant tumor in and around bile duct, no intrahepatic calculus. The bile duct wall thickening and expansion ranged from 1 cm to 2 cm, and no obvious acute inflammatory reaction. Common bile duct twelve duodenal opening were unobstructed in operation. Results〓Fifty-six patients were successfully completed the operation. Five cases had complications, postoperative biliary fistula occurred in 3 cases, pulmonary infection in 2 case and urinary retention in 2 cases, and all cured by conservative treatment, no wound infection, no peri-operation period death. Conclusion〓Laparoscopy common bile duct exploration and primary closure has good clinical effect for treatment of bile duct stones. The patients would get well soon without T-tube drainade and have small trauma, shorter hospitalization period.

Key words: Laparoscope, Common bile duct stones, T-tube free drainage