What question did this study set out to answer?

This review aims to compare clinical outcomes associated with primary closure and T-tube drainage after laparoscopic common bile duct exploration.

Clinical Decision-Making in Laparoscopic Common Bile Duct Exploration: Choosing Between Primary Closure and T-Tube Drainage

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Narrative review compares primary closure and T-tube drainage outcomes in choledocholithiasis treatment, suggesting individualized strategies.

This review aims to compare clinical outcomes associated with primary closure and T-tube drainage after laparoscopic common bile duct exploration.
Conducted a narrative review of existing literature, including randomized controlled trials and meta-analyses.
Examined perioperative practices and patient-specific variables related to closure methods.
Identified clinical outcomes associated with each closure option.
Primary closure associated with a shorter operative time, typically by about 20 minutes.
Reduced hospital stay by 1-2 days and lower complication rates, such as 5.2% versus 12.1% for T-tube drainage.
T-tube drainage remains useful in high-risk cases and specific clinical scenarios.

Liu et al. (2026) studied this question.

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Narrative review compares primary closure and T-tube drainage outcomes in choledocholithiasis treatment, suggesting individualized strategies.