关键词: 胆总管结石, 腹腔镜, T管置入术, 双J管, 一期缝合

Abstract: Objective To explore the common methods of treatment of laparoscopic common bile duct stone exploration.Methods There were 306 cases of common bile duct stones treated with LCBDE.The clinical data of patients undergoing laparoscopic common bile duct incision and lithotripsy will be divided into three groups according to different surgical methods：double J tube group（102 cases），common bile duct primary suture group（106 cases），T tube drainage group（98 cases）.Operative，perioperative and postoperative complications were compared among the three groups.Results All patients completed the operation successfully.The T-tube placement group had a longer operation time[（129.3±12.24）min]，the primary suture group of common bile duct was the shortest[（105.1±5.93）min];longer hospital stay[（10.8±1.42）d]，double J tube drainage group followed[（10.2±1.41）d]，the primary suture group of common bile duct was the shortest[（8.7±1.50）d].The T-tube placement group had the longest postoperative exhaust time[（4.65±0.91）d]，the primary suture group of common bile duct was the shortest[（2.64±1.07）d].The T-tube placement group was the largest group in the total hospitalization cost[（25278.0±294.71）yuan]，the primary suture group of common bile duct was the shortest[（16727.5±193.52）yuan].The differences between the three groups were statistically significant（P<0.05）.The Incidence of postoperative complications of double J tube group，common bile duct primary suture group and T tube drainage group were 4.9%，5.6% and 2.0%，respectively（P＞0.05）.Conclusion The primary suture of the common bile duct during LCBDE is clinically feasible.However，it is necessary to strictly control the surgical indication.If necessary，the T-tube of the common bile duct should be inserted.

Key words: common bile duct stones, laparoscopic, T-tube placement, double J tube, one-stage suture