Top

BMC Surgery

Published in:

Open Access 01-12-2023 | Choledocholithiasis | Research

Application of laparoscopic backtracking full-thickness continuous everting suture for non-AOSC choledocholithiasis

Authors: Bo Yuan, Xuanfeng Zhang, Chenchen Kong, Cancan Zhang, Huansong Li

Published in: BMC Surgery | Issue 1/2023

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.

Result

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.

Conclusion

Under certain conditions, backtracking full-thickness continuous everting suture could benefit patients with choledocholithiasis compared with traditional T-tube drainage.

Yang Y, Han L, Lin DN, Hu ZJ, Tu W, Chen F, Li YQ. The safety and efficacy of primary duct closure without endoscopic nasobiliary drainage after laparoscopic common bile duct exploration. Gastrointest Tumors. 2020;7(4):117–24.CrossRefPubMedPubMedCentral

Baiu I, Hawn MT. Choledocholithiasis. JAMA. 2018;320(14):1506.CrossRefPubMed

Audouy C, Thereaux J, Kansou G, Leroux G, Badic B, Bail JP. Primary closure versus biliary drainage after laparoscopic choledocotomy: results of a comparative study. Surg Laparosc Endosc Percutan Tech. 2016;26(1):e32–36.CrossRefPubMed

Wu D, Jin W, Zhang Y, An Y, Chen X, Chen W. Primary suture of the common bile duct: continuous or interrupted? J Laparoendosc Adv Surg Tech A. 2022;32(4):390–4.CrossRefPubMed

Andrade C. Propensity score matching in nonrandomized studies: a concept simply explained using antidepressant treatment during pregnancy as an example. J Clin Psychiatry. 2017;78(2):e162–5.CrossRefPubMed

Podda M, Polignano FM, Luhmann A, Wilson MS, Kulli C, Tait IS. Systematic review with meta-analysis of studies comparing primary duct closure and T-tube drainage after laparoscopic common bile duct exploration for choledocholithiasis. Surg Endosc. 2016;30(3):845–61.CrossRefPubMed

Yin Z, Xu K, Sun J, Zhang J, Xiao Z, Wang J, Niu H, Zhao Q, Lin S, Li Y. Is the end of the T-tube drainage era in laparoscopic choledochotomy for common bile duct stones is coming? A systematic review and meta-analysis. Ann Surg. 2013;257(1):54–66.CrossRefPubMed

Deng Y, Tian HW, He LJ, Zhang Y, Gu YH, Ma YT. Can T-tube drainage be replaced by primary suture technique in laparoscopic common bile duct exploration? A meta-analysis of randomized controlled trials. Langenbecks Arch Surg. 2020;405(8):1209–17.CrossRefPubMed

Andrianello S, Marchegiani G, Anselmi B, Secchettin E, Boriero F, Malleo G, Salvia R, Bassi C. Polyester preserves the highest breaking point after prolonged incubation in pancreatic juice. J Gastrointest Surg. 2018;22(3):444–50.CrossRefPubMed

10.

Xu Y, Dong C, Ma K, Long F, Jiang K, Shao P, Liang R, Wang L. Spontaneously removed biliary stent drainage versus T-tube drainage after laparoscopic common bile duct exploration. Medicine (Baltimore). 2016;95(39):e5011.CrossRefPubMed

11.

Kitano S, Bandoh T, Yoshida T, Shuto K. Transcystic C-tube drainage following laparoscopic common bile duct exploration. Surg Technol Int. 1994;3:181–6.PubMed

12.

Koch M, Garden OJ, Padbury R, Rahbari NN, Adam R, Capussotti L, Fan ST, Yokoyama Y, Crawford M, Makuuchi M, et al. Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery. Surgery. 2011;149(5):680–8.CrossRefPubMed

13.

Li KY, Shi CX, Tang KL, Huang JZ, Zhang DL. Advantages of laparoscopic common bile duct exploration in common bile duct stones. Wien Klin Wochenschr. 2018;130(3–4):100–4.CrossRefPubMed

Title: Application of laparoscopic backtracking full-thickness continuous everting suture for non-AOSC choledocholithiasis
Authors: Bo Yuan
Xuanfeng Zhang
Chenchen Kong
Cancan Zhang
Huansong Li
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: Choledocholithiasis
Published in: BMC Surgery / Issue 1/2023
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-023-02222-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Application of laparoscopic backtracking full-thickness continuous everting suture for non-AOSC choledocholithiasis

Abstract

Background

Methods

Result

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Result

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2023

Impact of relaxing incisions on maxillofacial growth following Sommerlad–Furlow modified technique in patients with isolated cleft palate: a preliminary comparative study

Laparoscopic proximal gastrectomy with right-sided overlap and single-flap valvuloplasty (ROSF): a case-series study

Risk of leakage with a new detachable multi-hard-port containment system for power morcellation during gynecologic laparoscopy: An in vitro study

Risk assessment and clinical prediction model of planned transfer to the ICU after hip arthroplasty in elderly individuals

Comparison of short-term efficacy analysis of medium-rectal cancer surgery with robotic natural orifice specimen extraction and robotic transabdominal specimen extraction

Value of cytopathology in the diagnosis of adenoid cystic carcinoma and an analysis of misdiagnoses