Primary Suture of the Common Bile Duct: Continuous or Interrupted?

Abstract

Objective: To compare the effectiveness and safety of continuous suture and interrupted suture in Laparoscopic Common Bile Duct Exploration (LCBDE) for choledocholithiasis. Materials and Methods: The data of 125 patients with choledocholithiasis treated with LCBDE in our department from January 2017 to January 2019 were retrospectively collected and divided into two subgroups: the continuous suture group (n = 56) and the interrupted suture group (n = 69). The operation duration, time to suture, intraoperative blood loss, extubation time, hospital stay, total hospitalization expenses, preoperative and postoperative diameters of the common bile duct (CBD), and the occurrence rate of postoperative complications were all compared between the two groups. Results: The operative duration, time to suture, and intraoperative blood loss in the continuous suture group were less compared with those in the interrupted suture group (P < .05). There was no statistical significance between the 2 groups considering extubation time, hospital stay, total hospitalization expenses, and the occurrence rate of postoperative complications (P > .05). The postoperative CBD diameters in both groups were significantly larger than the preoperative CBD diameters (P < .05). Conclusions: The continuous suture technique shortened the operative duration, time to suture, and reduced intraoperative blood loss. It proves to be an effective and safe method in patients diagnosed with CBD stones.

The value of mesenteric closure after laparoscopic right hemicolectomy: a scoping review

“…The current small sample size study attributes good results to polymer ligation clips and greater clinical attention is merited. Continuous suture has been shown superior to intermittent suture in bile duct surgery [ 28 ], and this may also be true for LRH. Anatomical characteristics of the mesentery mean that the small intestine is more inclined to the left iliac fossa.…”

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

“…There are also some postoperative complications in primary closure, the most common of which is postoperative bile leakage. To reduce the incidence of bile leakage, surgeons employ new suturing techniques, special sutures, and assisted biliary drainage [ 4 ]. Therefore, comparing the pros and cons of primary closure and biliary drainage is of great significance for clinical decision-making.…”