Abstract

Background: Choledocholithiasis is a common gastrointestinal disease in Vietnam and around the world. If gallstones are not treated promptly, they can lead to dangerous complications. There are many methods to treat choledocholithiasis such as surgery, endoscopic retrograde cholangiopancreatography, percutaneous gallstone lithotripsy... to remove all stones and limit recurrence. However, surgery (open surgery and laparoscopic surgery) to open the common bile duct to remove stones still plays the most important role. This study aims to evaluate the safety, the effectiveness of laparoscopic surgery in manegement common bide duct stones.

Methods: A descriptive (prospective, longitudinal follow-up) study was conducted on 137 patients with choledocholithiasis who underwent laparoscopic common bile duct exploration with stone extraction and T-tube (Kehr) drainage at Hoan My Da Nang Hospital from September 2017 to September 2023. Clinical/imaging findings, operative variables, and postoperative outcomes were recorded and analyzed using SPSS 20.0.

Results: From September 2017 to September 2023, there were 137 cases of common bile duct stones treated by us with laparoscopic surgery at Hoan My Da Nang hospital. The male:female ratio is 2:3, average age is 64.1 ± 17.3 years old. There were 128/137 cases of successful laparoscopic surgery, with an average surgery time of 103 ± 27.2 minutes. Most patients have less pain after surgery and have a shorter hospital stay than with open surgery. The rate of complications after surgery is relatively low. There were 03 cases of residual stones after surgery and 15 cases of recurrence of stones after 2 years.

Conclusion: Laparoscopic surgery is a safe and effective method for the treatment of choledocholithiasis, with high success and stone clearance rates and low rates of intraoperative adverse events and postoperative complications.