Abstract:
Objective To compare the clinical efficacy of laparoscopic cholecystectomy combined with common bile duct exploration（LC+LCBDE）with primary suture nasobiliary drainage and T-tube drainage.
Methods A total of 160 patients with cholelithiasis from January 2018 to September 2019 were enrolled and divided into two groups by random number table method. Among them，80 patients in nasal tube group were given nasobiliary drainage after primary suture of LC+LCBDE，while 80 patients in T-tube group were given T tube drainage after primary suture of LC+LCBDE. The data were analyzed by SPSS 20.0 software. The perioperative indicators and other measurement data were expressed as（
±s），and independent
t test was performed between groups. Postoperative complications and discharge rate with tube were expressed as %，and
χ2 test was performed between groups.
P<0.05 was considered statistically significant.
Results The operation was successful in both groups. The drainage volume in nasal tube group was less than that in T-tube group at different times after operation，and the postoperative exhaust time，drainage tube removal time and hospital stay were shorter than those in T-tube group（P<0.05）. The incidence of postoperative complications in the nasal tube group（3.8%）was lower than that in the T-tube group（13.8%），and the discharge rate with tube（5.0%）was lower than that in the T-tube group（97.5%），and the differences were statistically significant（P<0.05）.
Conclusion For patients with LC+LCBDE primary suture，nasobiliary drainage has less postoperative drainage volume，short indwelling time，fast recovery of gastrointestinal function，short hospital stay，low discharge rate with tube，low incidence of postoperative complications，and ideal effect.
Key words:
Cholecystectomy，Laparoscopic,
Common Bile Duct Exploration,
Primary Suture,
Nasobiliary Drainage,
T Tube Drainage
Hua Xiang, Yuting Guo, Yichi Xu, Ming Qiu, Lin Kong, Qinxi Yang, Lina He, Benyi Xu. To compare the clinical efficacy of laparoscopic cholecystectomy combined with common bile duct exploration（LC+LCBDE）with primary suture nasobiliary drainage and T-tube drainage[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(01): 73-75.