The preventive effect of medical biological glue on postoperative bile leakage in laparoscopic common bile duct primary suture

Aim Laparoscopic common bile duct exploration for stone removal is a relatively comfortable procedure for patients, but the risk of bile leakage after surgery is still a concern. However, the use of medical biological glue in small incisions of the common bile duct may offer a solution. The effectiveness of this method for reducing the occurrence of bile leakage is still uncertain, but it holds great potential for improving patient outcomes. At Juxian People's Hospital, we are committed to exploring all options for enhancing the safety and comfort of our patients. Objective To evaluate the value of medical biological glue in preventing biliary fistula in laparoscopic choledochotomy in patients with non-acute suppurative cholangitis. Methods Patients undergoing laparoscopic choledochotomy and primary suture were divided into two groups: the control group (group 2 n=24) underwent continuous suture with absorbable sutures, and the experimental group (group 1 n=18) underwent continuous suture with absorbable sutures followed by spraying of medical biological glue. The incidence of biliary fistula, removal time, discharge time, and other indicators were compared between the two groups. Results The incidence of biliary fistula, amount of biliary leakage, postoperative hospital stay, and postoperative cost were significantly lower in the biological glue group than in the control group. The use of biological medical glue did not cause any relevant complications, did not affect liver function, did not delay intestinal exhaust time, and the patients felt good overall. Conclusion Medical biological glue can significantly reduce the incidence of biliary fistula after laparoscopic choledochotomy and primary suture, without increasing additional complications.