胆总管切开探查取石后胆总管处理的方式还存在一定的争议。目前常见的处理方式是T管引流和胆总管一期缝合，胆总管一期缝合有更多的优势，也更符合加速康复外科理念，理应更广泛应用于临床。但临床实践中放置T管引流更被常规使用，术者对胆总管一期缝合可能还存在一些顾虑。把握好胆总管一期缝合的适应证，提高缝合技术，有选择地放置胆总管内置支撑管并掌握支撑管放置的要点，是取得胆总管一期缝合更安全、更优良预后的有效保障。

The management of common bile duct after common bile duct exploration and stone extraction remains controversial. At present, T-tube drainage and primary suture of common bile duct are commonly adopted. Primary suture of common bile duct has more advantages and is more in line with the concept of enhanced recovery after surgery, which deserves widespread clinical application. However, T-tube drainage is more commonly used in clinical practice because surgeon may still have concerns about primary suture of common bile duct. Understanding the indications, improving suturing techniques, selective placement of stenting tube in common bile duct and mastering the key of placement are effective guarantees for achieving primary suture of common bile duct with better safety and prognosis.