Kết quả sớm phẫu thuật nội soi kết hợp nội soi đường mật và tán sỏi điện thủy lực điều trị sỏi đường mật chính

Abstract

Objective: This study is to evaluate the early results of laparoscopic common bile duct exploration combined with cholangioscopy and electrohydraulic lithotripsy combined to treat of both extra- and intra-hepatolithiasis. Subject and method: From May 2015 to July 2017, 111 patients with extra- and intra-hepatolithiasis, who have undergone laparoscopic common bile duct exploration combined with cholangioscopy and electrohydraulic lithotripsy in Vietnamese - Swedish Uong Bi Hospital and Ho Chi Minh City Medicine and Pharmacy University were enrolled in the prospective study. The data of all patients involved in intra and postoperative time has been collected and analyzed. Result: The success rate of the method was 94.60%. The mean operating time was 133.60 ± 46.62 min and the average hospital stay was 6.47 ± 2.82 days. The rate of intraoperative stone clearance in was 74.76% (extrahepatolithiasis was 100%, both intra and trahepatolithiasis was 35.71%). The mean of antibiotic management’s day was 5.93 ± 2.64 days. Rate of mild and moderate postoperative pain were 72.90% and 11.21% respectively. The postoperative complications was 11.21%. Conclusion: Laparoscopic common bile duct exploration combined with cholangioscopy and electrohydraulic lithotripsy is a safe and effective method in management patients with extra- and intra-hepatolithiasis. The intraoperative success rate of stone clearance was 74.76% and postoperative complications was 10.28%.