Kết quả ứng dụng phẫu thuật nội soi điều trị sỏi đường mật

Downloads

Download data is not yet available.
PDF (Tiếng Việt)     13    9

Abstract

Objectives: Clinic, para-clinic feature and the results of laparoscopic choledochotomies to management
bile duct stones.
Materials and methods: Retrospective and prospective study, total 152 bile duct stones patient,
underwent laparoscopic choledochotomy with or without reflexible bile ducts endoscopic and electrohydraulic,
from January 2009 to May 2019 at Hue central hospital.
Results: Mean age 54.2 (22-84), 66 male and 86 female, mean operative time: 135 minutes (90-235),
intraoperative complications: 3.29%, open conversion: 5.92%. Complete stone clearance was achieved in
91.6% patients. Postoperative complications: 7.69%.
Conclusions: Management bile duct stones by laparoscopic choledochotomy is safe and effective with
high complete stones clearence, low intraoperative and postoperative complications.This procedure can
apply to historical upper laparotomy and better effect if it concommitant with reflexible bile ducts endoscopy
and electrohydraulic.

References

Cao Việt Dũng (2009), “Ứng dụng phẫu thuật

nội soi trong điều trị sỏi đường mật”, Hội nghị

ngoại khoa Khánh Hoà mở rộng, 149-157.

Lê Lộc, Phạm Như Hiệp (2002), “Bước đầu

điều trị phẫu thuật nội soi lấy sỏi ống mật chủ

đơn thuần tại BVTW Huế”, Kỷ yu toàn văn các

đề tài khoa hc, 51-55.

Trần Như Nguyên Phương (2008), “Điều trị sỏi

đường mật chính bằng nội soi mật tuỵ ngược

dòng tại BVTW Huế”, Y hc TP Hồ Chí Minh,

tập 12, phụ bản số 4, 329-332.

Đặng Tâm, Lê Nguyên Khôi (2008), “Đánh giá

phương pháp lấy sỏi mật nội soi xuyên gan qua

da”, Y hc TP Hồ Chí Minh, tập 12, phụ bản của

số 4, 274-281.

A.Waage, C.Stromberg, C.-E Leijonmarck, D.

Arvidsson (2003), ”Long-term results from

laparoscopic common bile duct exploration”,

Surg Endosc, 17: 1181–1185.

B. Chen, SY. Hu, L. Wang, KX. Wang, GY.

Zhang, HF. Zhang (2007), “Reoperation of

Biliary Tract by Laparoscopy: A Consecutive

series of 26 Cases”, Acta chir belg,107, 292-296

CN Tang, KK Tsui, JPY Ha, WT Siu, MKW

Li (2006), “Laparoscopic exploration of the

common bile duct: 10-year experience of 174

patients from a single centre”, Hong Kong Med

J;12:191-19

Dan I. Giurgiu (1999), “Laparoscopic Common

Bile Duct Exploration Long-term Outcome”,

Arch Surg, 134:839-844

J. Ch. Berthou, B. Dron, Ph. Charbonneau, K.

Moussalier, L. Pellissier (2007), “Evaluation

of laparoscopic treatment of common bile duct

stones in a prospective series of 505 patients: indications and results” Surg Endosc, 21: 1970-1974.

Leslie K. Nathanson (2005), “Postoperative

ERCP Versus Laparoscopic Choledochotomy

for Clearance of Selected Bile Duct Calculi A

Randomized Trial”, Ann Surg, 242: 188–192.

Kadam R et al (2016), “Laparoscopic common

bile duct exploration versus ERCP/stenting and

cholecystectomy: Is a single staged procedure better?”, Int J Hepatobiliary Pancreat Dis, 6: 57-63.

S S Rai (2006) “Comparion of long-term results

of laparoscopic and endoscopic exploration

common bile duct”, Journal of minimal access

surgery, volume 2, issue.

Lee Hyung Mo, et al (2014), “Long-term results

of laparoscopic common bile duct exploration

by choledochotomy for choledocholithiasis: 15-

year experience from a single center”, Ann Surg

Treat Res, 86(1), 1-6.

Qi Wei, Hong-Jie Hu, Xiao-Yan Cai, Li-Bo

Li, Guan-Yu Wang (2004), “Biliary drainage

after laparoscopic choledochotomy”, World J

Gastroenterol, 10(21):3175-3178.

Williams E et al (2017), “Updeted guideline

on the management of the common bile duct

stones (CBDS)”, BMJ, 66:765-782.

Published 10-12-2019
Fulltext
PDF (Tiếng Việt)     13    9
Language
Issue No. 58 (2019)
Section Original article
DOI
Keywords

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2025 Journal of Clinical Medicine Hue Central Hospital

Phong, L. Q., Loc, L., Hiep, P. N., Mai, H. T., & Quang, N. N. (2019). Kết quả ứng dụng phẫu thuật nội soi điều trị sỏi đường mật. Journal of Clinical Medicine Hue Central Hospital, (58), 3–8. Retrieved from https://jcmhch.com.vn/index.php/home/article/view/1451