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Abstract Objective：To investigate the security， indications and methods of the primary suture of common bile duct after exploration under choledochoscope.Method：The therapeutic effectiveness of primary suture of common bile duct in 103 cases having the indications subject to exploration of common bile duct under choledochoscope was retrospectively analyzed.Result：All the 103 cases fully recovered.The bile leakage occurred in 5 cases and biliary calculi recurrence occurred in 3 cases.During the follow up of 3 month to 3 years，no residual calculus or stricture of bile duct was seen.No serious obstructive jaundice， cholangitis， pancreatitis or abdominal cavity infection was occurred. Conclusion：If the indication and the technology of bile duct suturation are prepefly mastered， the primary suture of common bile duct after exploration under choledochoscopy is safe.
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