ArticleFrontiers in surgery2025
Efficacy and safety of primary suture following laparoscopic common bile duct exploration in the treatment of elderly patients with cholecystolithiasis complicated by choledocholithiasis.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and aim: The study aimed to evaluate the efficacy and safety of primary suture following laparoscopic common bile duct exploration (LCBDE) in the treatment of elderly patients with cholecystolithiasis complicated by choledocholithiasis. Methods: We retrospectively reviewed 164 elderly patients, aged older than 70 years, who underwent laparoscopic cholecystectomy (LC) and laparoscopic common bile duct exploration at our center from January 2015 to December 2024. The patients were categorized into two groups according to the surgical strategy used, namely, primary suture following LC + LCBDE (PS group) and T-tube drainage following LC + LCBDE (T-tube group). General data, intraoperative and postoperative outcomes, and postoperative complications in the two groups were compared and analyzed. Results: There were no significant differences in age (77.1 ± 4.6 vs. 78.3 ± 5.2 years, Conclusion: Primary suture following LCBDE is a safe and effective treatment approach for cholecystolithiasis combined with choledocholithiasis in elderly patients. When the surgical criteria are strictly executed, primary suture offers superior perioperative outcomes over T-tube drainage, facilitating patients' recovery without increasing postoperative complications.
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