PDF(Pubmed)
Abstract：
BACKGROUND: Based on the current trend of increasing incidence of choledocholithiasis, it is of great significance to explore the closure method of the common bile duct during laparoscopic choledocholithotomy.
METHODS: Backtracking full-thickness continuous everting suture was selected for primary closure of the common bile duct suture, while traditional T-tube drainage was selected for the control group. Propensity score matching (PSM) was used to reduce baseline differences between the two groups.
RESULTS: The intraoperative blood loss, operation time, postoperative recovery speed, postoperative bleeding, postoperative pancreatitis, recurrence rate of bile duct stones, and hospitalization time in the primary closure group were all less than those in the T-tube drainage group.
CONCLUSIONS: Under certain conditions, backtracking full-thickness continuous everting suture could benefit patients with choledocholithiasis compared with traditional T-tube drainage.
METHODS: Backtracking full-thickness continuous everting suture was selected for primary closure of the common bile duct suture, while traditional T-tube drainage was selected for the control group. Propensity score matching (PSM) was used to reduce baseline differences between the two groups.
RESULTS: The intraoperative blood loss, operation time, postoperative recovery speed, postoperative bleeding, postoperative pancreatitis, recurrence rate of bile duct stones, and hospitalization time in the primary closure group were all less than those in the T-tube drainage group.
CONCLUSIONS: Under certain conditions, backtracking full-thickness continuous everting suture could benefit patients with choledocholithiasis compared with traditional T-tube drainage.
摘要：
背景：根据目前胆总管结石发病率上升的趋势，探讨腹腔镜胆总管切开取石术中胆总管的闭合方法具有重要意义。
方法：选择回溯全层连续外翻缝线初次闭合胆总管缝线，对照组采用传统T管引流。倾向评分匹配（PSM）用于减少两组之间的基线差异。
结果：术中失血，操作时间,术后恢复速度,术后出血,术后胰腺炎,胆管结石的复发率，初次封闭组的住院时间均少于T管引流组。
结论：在一定条件下，与传统T管引流相比,回溯全厚度连续外翻缝合术可使胆总管结石患者受益.
方法：选择回溯全层连续外翻缝线初次闭合胆总管缝线，对照组采用传统T管引流。倾向评分匹配（PSM）用于减少两组之间的基线差异。
结果：术中失血，操作时间,术后恢复速度,术后出血,术后胰腺炎,胆管结石的复发率，初次封闭组的住院时间均少于T管引流组。
结论：在一定条件下，与传统T管引流相比,回溯全厚度连续外翻缝合术可使胆总管结石患者受益.
