Comparison of the influence of putting T tube drainage or not on surgery effect of laparoscopic choledocho－lithotomy / 中国基层医药

ABSTRACT

Objective To compare the influence of putting T tube drainage or not on surgery effect of laparo －scopic choledocholithotomy .Methods From January 2014 to December 2017,76 patients with laparoscopic choledo－cholithiasis in the People's Hospital of Houma were selected in the research .All patients underwent laparoscopic choledocholithotomy.According to the random number table method,the patients were randomly divided into observation group(without T tube drainage ) and control group(with T tube drainage),with 38 cases in each group.The operation time,postoperative hospital stay ,anal exhaust time,hospitalization expenses ,bile leakage and postoperative satisfaction between the two groups were compared .Results There was no statistically significant difference in the operation time between the two groups(t＝0.39,P＞0.05).The hospitalization days,hospitalization expense and anus exhaust time in the observation group were significantly lower than those in the control group ( t＝12.54,5.05,11.32,all P＜0.01).The incidence rate of bile leakage of the observation group was 2.63%,which was significantly lower than 28.95%of the control group (χ2＝8.02,P ＝0.01).The postoperative satisfaction of the observation group was 97.37%,which was significantly higher than 63.16%of the control group(χ2＝11.96,P＜0.01).Conclusion The non－T tube drainage in laparoscopic choledochotomy can reduce the hospitalization time , hospitalization cost, incidence rate of postoperative bile leakage and improve the patients 'satisfaction.Therefore,it has good safety and feasibility,which is worthy of clinical application and promotion .