KẾT QUẢ PHẪU THUẬT CẮT TÚI MẬT NỘI SOI KẾT HỢP NỘI SOI MẬT TỤY NGƯỢC DÒNG ĐIỀU TRỊ SỎI TÚI MẬT KÈM SỎI ỐNG MẬT CHỦ TRONG MỘT THÌ MỔ

Abstract

Objective: Results of laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography to treat gallbladder stones and common bile duct stones in one surgical session. Subjects and methods: Retrospective study, describing a series of cases. Retrospective study of all patients with gallbladder stones combined with common bile duct stones who underwent laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography to remove common bile duct stones in the same surgical session from June 2022 to June 2024 at the Department of General Surgery, People's Hospital 115. Results and conclusion: Through performing 122 laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography to remove common bile duct stones in the same surgical session, we found that: The success rate of laparoscopic cholecystectomy to remove common bile duct stones in patients who underwent laparoscopic cholecystectomy in the same surgical session was 100%. Of  which, the  rate of  incomplete removal of bile duct stones requiring stent placement was 16%. The average total time for laparoscopic cholecystectomy and OMC stone removal was 123 ± 33 minutes (including patient preparation time before performing laparoscopic cholecystectomy). The average postoperative hospital stay was 2 ± 1 day. We encountered 4% of early postoperative complications, which were mild acute pancreatitis after surgery. There were no cases of bile leakage, bleeding, fluid accumulation, and postoperative death. There were 82% good results, 18% fair results, and no poor average results. 100% were safely discharged after surgery. Thus, combining both surgeries at the same time has good results, is safe for patients, shortens the treatment time in the hospital, and reduces treatment costs.