Clinical Effect of Primary Suture After Laparoscopic Common Bile Duct Exploration for Elderly Patients With Gallbladder Stones and Common Bile Duct Stones

Abstract

Objective

To study the effectiveness of primary sutures after laparoscopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE) in treating elderly patients with gallbladder stones and common bile duct stones.

Methods

A retrospective study was conducted on 127 elderly patients with common bile duct stones who were enrolled between January 2019 and December 2023. Based on the suture method of the common bile duct, the patients were divided into the primary suture and T-tube drainage groups. The preoperative, intraoperative, and postoperative recovery rates of the 2 groups were compared and analyzed.

Results

There were 67 and 60 patients in the primary and T-tube drainage groups, respectively. There was no statistically significant difference in the preoperative data between the 2 groups (P > 0.05). Moreover, the operation time, postoperative drainage time, first exhaust time, time to get out of bed, hospital stay, and hospital costs in the primary suture group were significantly shorter than those in the T-tube drainage group (P < 0.05). Additionally, there was no statistically significant difference in intraoperative blood loss, postoperative liver function, or total postoperative complications between the 2 groups (P > 0.05).

Conclusion

LC + LCBDE + primary suture is a safe and effective treatment for elderly patients with gallbladder and common bile duct stones. It may promote recovery, but further research is needed to confirm its superiority over T-tube drainage.