{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:30:15Z","timestamp":1787776215657,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,10]]},"abstract":"\n Background:<\/jats:title>\n The aim of this study is to explore the application value of layered suture technique in two-port laparoscopic choledocholithotomy with primary suture.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n A prospective study of 267 patients received laparoscopic common bile duct choledocholithotomy with primary suture in our hospital from January 2014 to July 2017. Of these cases, layered suture technique was utilised in 110 patients, and single-suture technique was used in 157 patients. The operation time, post-operative hospital stay and post-operative complications were compared between the two groups.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Two groups of patients were operated smoothly, with no conversations to laparotomy. Post-operative recovery was symptom free. The operative time was not significantly different between the two groups of patients (\n t<\/jats:italic>\n = \u22120.587,\n P<\/jats:italic>\n = 0.086). The post-operative hospital stay and incidence of post-operative bile leakage were significantly lower in layered suture group than those in single-layer suture group ([7.6 \u00b1 1.8] days vs. [5.8 \u00b1 1.7] days,\n t<\/jats:italic>\n = 2.776,\n P<\/jats:italic>\n = 0.000; 4.5% [5\/110] vs. 20.4% [32\/157], \u03c7\n 2<\/jats:sup>\n = 9.885,\n P<\/jats:italic>\n = 0.002). In the single-layer suture group, the incidence of post-operative bile leakage was significantly higher in patients complicated with acute cholangitis (44.4% [12\/27] vs. 15.4% [20\/130], \u03c7\n 2<\/jats:sup>\n = 11.634,\n P<\/jats:italic>\n = 0.001), whereas in the layered suture group, the incidence of post-operative bile leakage was insignificantly different among patients with and without acute cholangitis (11.8% [2\/17] vs. 3.2% [3\/93], \u03c7\n 2<\/jats:sup>\n = 0.848,\n P<\/jats:italic>\n = 0.357).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Application of layered suture technique in laparoscopic choledocholithotomy with primary suture is feasible and safe, with advantages of less bile leakage and shorter hospital stay.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jmas.jmas_48_18","type":"journal-article","created":{"date-parts":[[2018,6,27]],"date-time":"2018-06-27T03:05:28Z","timestamp":1530068728000},"page":"311-315","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A study of primary single and layered suture technique by using two-port laparoscopic choledocholithotomy"],"prefix":"10.4103","volume":"15","author":[{"given":"Zhu","family":"Jie","sequence":"first","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Ningbo Medical Centre of Lihuili Hospital, Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Ningbo Medical Centre of Lihuili Hospital, Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhou","family":"Shaocheng","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Ningbo Medical Centre of Lihuili Hospital, Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Bin","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Ningbo Medical Centre of Lihuili Hospital, Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Haibiao","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, Ningbo Medical Centre of Lihuili Hospital, Ningbo, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250523","doi-asserted-by":"crossref","first-page":"2563","DOI":"10.1007\/s00464-015-4523-0","article-title":"Laparoscopic common bile duct exploration: 15-year experience in a district general hospital","volume":"30","author":"Aawsaj","year":"2016","journal-title":"Surg Endosc"},{"key":"R2-20250523","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.ciresp.2013.02.010","article-title":"Laparoscopic common bile duct exploration. Lessons learned after 200 cases","volume":"92","author":"Abell\u00e1n Morcillo","year":"2014","journal-title":"Cir Esp"},{"key":"R3-20250523","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S0140-6736(97)09175-7","article-title":"Randomised trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones","volume":"351","author":"Rhodes","year":"1998","journal-title":"Lancet"},{"key":"R4-20250523","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/SLE.0b013e31825b297d","article-title":"A randomized trial comparing the use of endobiliary stent and T-tube for biliary decompression after laparoscopic common bile duct exploration","volume":"22","author":"Mangla","year":"2012","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"R5-20250523","first-page":"42","article-title":"Criteria of decision on the access for laparoscopic choledocholithotomy","volume":"169","author":"Mosiagin","year":"2010","journal-title":"Vestn Khir Im I I Grek"},{"key":"R6-20250523","first-page":"2285","article-title":"Study on suture of patients with history of abdominal surgery after laparoscopic choledocholithotomy","volume":"28","author":"Liang","year":"2015","journal-title":"Pak J Pharm Sci"},{"key":"R7-20250523","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/S1072-7515(01)01083-3","article-title":"Laparoscopic cholecystectomy and choledocholithotomy in patients with a previous gastrectomy","volume":"193","author":"Kwon","year":"2001","journal-title":"J Am Coll Surg"},{"key":"R8-20250523","first-page":"3509","article-title":"Clinical efficacy and safety of selective trans-cystic intra-operative cholangiography in primary suture following three-port laparoscopic common bile duct exploration","volume":"125","author":"Sun","year":"2012","journal-title":"Chin Med J (Engl)"},{"key":"R9-20250523","first-page":"10","article-title":"Laparoscopic primary repair of common bile duct: Does the suture size matter","volume":"9","author":"Joshi","year":"2011","journal-title":"J Nepal Health Res Counc"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.JMAS_48_18","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:03:49Z","timestamp":1787774629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.JMAS_48_18"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_48_18","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10]]},"assertion":[{"value":"2018-02-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}