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Clinical Application of Primary Suture Following Three-Port Laparoscopic Common Bile Duct Exploration: A Report of 176 Cases

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ABSTRACT
Objective: To investigate the feasibility, safety and the clinical value of primary suture following 3-port laparoscopic common bile duct exploration (LCBDE). Methods: From January 2012 to September 2014, 176 patients suffered from choledocholithiasis were treated with primary suture following 3-port LCBDE and the clinical data were retrospectively analyzed. Results: All cases were operated successfully and none was converted to open surgery. The duration of operation was 92.2 ± 18.8 min and the length of postoperative hospital stay was 4.4 ± 3.7 d. Postoperative bile leakage occurred in 2 cases and these patients recovered by simple drainage for 3 to 7 days without re-operation. All patients recovered smoothly without any serious complications. Conclusions: Primary suture following 3-port LCBDE is safe, effective and mini-invasive, which is worthy of further clinical application.
 
Cite this paper
Li, S. , Cai, H. , Sun, D. , Chen, X. , Liu, S. , Wu, X. , An, Y. , Chen, J. , Yang, C. , Sun, Y. and Lu, X. (2015) Clinical Application of Primary Suture Following Three-Port Laparoscopic Common Bile Duct Exploration: A Report of 176 Cases. Surgical Science, 6, 1-6. doi: 10.4236/ss.2015.61001.
 
References
[1]Shively, E.H., Richardson, M., Romines, R., Englund, G. and Watkins, J. (2010) Laparoscopic Common Duct Exploration in 90-Bed Rural Hospital. The American Surgeon, 76, 626-629.
 
[2]Chander, J., Vindal, A., Lal, P., Gupta, N. and Ramteke, V.K. (2011) Laparoscopic Management of CBD Stones: An Indian Experience. Surgical Endoscopy, 25, 172-181.
http://dx.doi.org/10.1007/s00464-010-1152-5
 
[3]Zhang, W.J., Xu, G.F., Wu, G.Z., Li, J.M., Dong, Z.T. and Mo, X.D. (2009) Laparoscopic Exploration of Common Bile Duct with Primary Closure versus T-Tube Drainage: A Randomized Clinical Trial. Journal of Surgical Research, 157, e1-e5. http://dx.doi.org/10.1016/j.jss.2009.03.012
 
[4]Tinoco, R., Tinoco, A., El-Kadre, L., Peres, L. and Sueth, D. (2008) Laparoscopic common Bile Duct Exploration. Annals of Surgery, 247, 674-679. http://dx.doi.org/10.1097/SLA.0b013e3181612c85
 
[5]Zhang, W.Z., Chen, Y.S., Wang, J.W. and Chen, X.R. (2002) Early Diagnosis and Treatment of Severe Acute Cholangitis. World Journal of Gastroenterology, 8, 150-152
 
[6]Kohut, M., Nowak, A., Nowakowska-Duiawa, E. and Marek, T. (2002) Presence and Density of Common Bile Duct Microlithiasis in Acute Biliary Pancreatitis. World Journal of Gastroenterology, 8, 558-561
 
[7]Cuschieri, A., Lezoche, E., Morino, M., Croce, E., Lacy, A., Toouli, J., Faggioni, A., Ribeiro, V.M., Jakimowicz, J., Visa, J. and Hanna, G.B. (1999) E.A.E.S. Multicenter Prospective Randomized Trial Comparing Two-Stage vs Single-Stage Management of Patients with Gallstone Disease and Ductal Calculi. Surgical Endoscopy, 13, 952-957. http://dx.doi.org/10.1007/s004649901145
 
[8]Martin, D.J., Vernon, D.R. and Toouli, J. (2006) Surgical versus Endoscopic Treatment of Bile Duct Stones. Cochrane Database of Systematic Reviews, 19, CD003327.
 
[9]Gong, J.P., Zhou, Y.B., Han, B.L. and Li, Z.H. (1999) Endoscopic Sphincterotomy in Treatment of Secondary Common Bile Duct Stones. Shijie Huaren Xiaohua Zazhi, 7, 320-322
 
[10]Wei, Q., Wang, J.-G., Li, L.-B. and Li, J.-D. (2003) Management of Choledocholithiasis: Comparison between Laparoscopic Common Bile Duct Exploration and Intraoperative Endoscopic Sphincterotomy. World Journal of Gastroenterology, 9, 2856-2858.
 
[11]He, G.H., Cai, Y., Qian, X.Y., Feng, G.H., Ying, R.C., Xu, Q. and Jia, P.H. (2002) Surgical Management of the Complications after Endoscopic Sphincterotomy. Chinese Journal of General Surgery, 17, 469-470.
 
[12]Freeman, M.L., DiSario, J.A., Nelson, D.B., Fennerty, M.B., Lee, J.G., Bjorkman, D.J., Overby, C.S., Aas, J., Ryan, M.E., Bochna, G.S., Shaw, M.J., Snady, H.W., Erickson, R.V., Moore, J.P. and Roel, J.P. (2001) Risk Factors for Post-ERCP Pancreatitis: A Prospective, Multicenter Study. Gastrointestinal Endos- copy, 54, 425-434. http://dx.doi.org/10.1067/mge.2001.117550
 
[13]Vandervoort, J., Soetikno, R.M., Tham, T.C., Wong, R.C., Ferrari Jr., A.P., Montes, H., Roston, A.D., Slivka, A., Lichtenstein, D.R., Ruymann, F.W., Van Dam, J., Hughes, M. and Carr-Locke, D.L. (2002) Risk Factors for Complications after Performance of ERCP. Gastrointestinal Endoscopy, 56, 652-656.
http://dx.doi.org/10.1016/S0016-5107(02)70112-0
 
[14]Masci, E., Toti, G., Mariani, A., Curioni, S., Lomazzi, A., Dinelli, M., Minoli, G., Crosta, C., Comin, U., Fertitta, A., Prada, A., Passoni, G.R. and Testoni, P.A. (2001) Complications of Diagnostic and Therapeutic ERCP: A Prospective Multicenter Study. The American Journal of Gastroenterology, 96, 417-423. http://dx.doi.org/10.1111/j.1572-0241.2001.03594.x
 
[15]Topal, B., Aerts, R. and Penninckx, F. (2007) Laparoscopic Common Bile Duct Stone Clearance with Flexible Choledochoscopy. Surgical Endoscopy, 21, 2317-2321.
http://dx.doi.org/10.1007/s00464-007-9577-1
 
[16]Jameel, M., Darmas, B. and Baker, A.L. (2008) Trend towards Primary Closure Following Laparoscopic Exploration of the Common Bile Duct. Annals of the Royal College of Surgeons of England, 90, 29-35.
http://dx.doi.org/10.1308/003588408X242295
 
[17]Yamazaki, M., Yasuda, H., Tsukamoto, S., Koide, Y., Yarita, T., Tezuka, T., Takenoue, T., Kosugi, C., Sugimoto, M., Yamamoto, S. and Naka, S. (2006) Primary Closure of the Common Bile Duct in Open Laparotomy for Common Bile Duct Stones. Journal of Hepato-Biliary-Pancreatic Surgery, 13, 398-402.
http://dx.doi.org/10.1007/s00534-005-1097-6
 
[18]Leida, Z., Ping, B., Shuguang, W. and Yu, H. (2008) A Randomized Comparison of Primary Closure and T-Tube Drainage of the Common Bile Duct after Laparoscopic Choledochotomy. Surgical Endoscopy, 22, 1595-1600. http://dx.doi.org/10.1007/s00464-007-9731-9
 
[19]Zhu, Q.D., Tao, C.L., Zhou, M.T., Yu, Z.P., Shi, H.Q. and Zhang, Q.Y. (2011) Primary Closure versus T-Tube Drainage after Common Bile Duct Exploration for Choledocholithiasis. Langenbeck’s Archives of Surgery, 396, 53-62. http://dx.doi.org/10.1007/s00423-010-0660-z
 
[20]Cai, H.H., Sun, D.L., Sun, Y.M., Bai, J.F., Zhao, H.L. and Miao, Y. (2011) Primary Closure Following Laparoscopic Common Bile Duct Exploration Combined with Intra-Operative Cholangiography and Choledochoscopy. World Journal of Surgery, 36, 164-170.
http://dx.doi.org/10.1007/s00268-011-1346-6
 
[21]Sun, D.L., Zhang, F., Chen, X.M., Jiang, H.Y., Yang, C., Sun, Y.P., Yang, B., Yang, Y., Cai, H.H., Wang, C.Y. and Wu, X.Q. (2012) Clinical Efficacy and Safety of Selective Trans-Cystic Intra-Operative Cholangiography in Primary Suture Following Three-Port Laparoscopic Common Bile Duct Exploration. Chinese Medical Journal, 125, 3509-513.
 
[22]Chowbey, P.K., Sharma, A., Mann, V., Khullar, R., Baijal, M. and Vashistha, A. (2000) The Management of Mirizzi Syndrome in the Laparoscopic era. Surgical Laparoscopy Endoscopy Percutaneous Techniques, 10, 11-14. http://dx.doi.org/10.1097/00129689-200002000-00003                                                     eww150115lx


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