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Date Published: 16/05/2023
Abstract Views: 632
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DOI: https://doi.org/10.51298/vmj.v526i1A.5276
Issue
Vol. 526 No. 1A (2023)
Section
Các bài báo
How to Cite
Đặng , Q. Ái ., & Bùi , A. H. . (2023). LAPAROSCOPIC SURGERY COMBINED WITH ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY TO TREATMENT GALLSTONESES FROM THE GALLBLADDER AND COMMOM BILE DUCT. Vietnam Medical Journal, 526(1A). https://doi.org/10.51298/vmj.v526i1A.5276

LAPAROSCOPIC SURGERY COMBINED WITH ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY TO TREATMENT GALLSTONESES FROM THE GALLBLADDER AND COMMOM BILE DUCT

Quốc Ái Đặng 1,2,, Anh Hào Bùi 1
1 Hanoi medical university
2 E hospital

Main Article Content

Abstract

Background: Laparoscopic cholecystectomy combined with endoscopic retrograde cholangio-pancreatography to remove common bile duct stones for the treatment of cholelithiasis is a new field today. We conducted a study to evaluate the results of treatment of gallbladder stones combined with common bile duct stones by endoscopic retrograde cholangio-pancreatography remove gallstones and laparoscopic cholecystectomy. Patients and methods: Retrospective study of 104 patients diagnosed with gallbladder gallstones combined with common bile duct stones, treated with laparoscopic cholecystectomy and endoscopic retrograde cholangio-pancreatography remove gallstones at the Hanoi Medical University Hospital in the period June 2017 - June 2022. Results: The total number of patients in the study group was 104 including 53 males and 51 females. The mean age of the study group was 55.69 ± 17.08 years. Symptoms at hospital admission were 97.1% abdominal pain, 52.9% jaundice, and 30.7% fever. The rate of successful implementation of endoscopic retrograde cholangio-pancreatography to remove common bile duct stones combined with laparoscopic cholecystectomy was 92.31%. Endoscopic retrograde cholangio-pancreatography to remove common bile duct stones has a success rate of 95.19%. The average time of performing endoscopic retrograde cholangio-pancreatography to remove common bile duct stones was 52.08 ± 21.77 minutes. The time of laparoscopic cholecystectomy was 57.57 ± 25.13 minutes. In the group of 96 patients with successful laparoscopic retrograde cholangiopancreatography to remove common bile duct stones combined with laparoscopic cholecystectomy, 11 patients had complications, of which 9 patients had acute pancreatitis and 2 patients had upper gastrointestinal bleeding. The average hospital stay of 96 patients who successfully performed the technique was 9.15 ± 4.38 days. Conclusion: Laparoscopic cholecystectomy and endoscopic retrograde cholangio-pancreatography to remove common bile duct stones at the same time to treat patients with gallbladder stones combine with common bile duct stones gave good results.

Article Details

Keywords

Laparoscopic cholecystectomy, endoscopic retrograde cholangio-pancreatography to remove stones, common bile duct stones combined with gallbladder stones.

References

1. Housset C. Gallstone disease, towards a better understanding and clinical practice. Curr Opin Gastroenterol. 2018;34(2):57-58. doi:10.1097/ MOG.0000000000000425.
2. Mayumi T, Okamoto K, Takada T, et al. Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis. J Hepato-Biliary-Pancreat Sci. 2018;25(1):96-100. doi:10.1002/ jhbp.519.
3. Boni L, Huo B, Alberici L, et al. EAES rapid guideline: updated systematic review, network meta-analysis, CINeMA and GRADE assessment, and evidence-informed European recommendations on the management of common bile duct stones. Surg Endosc. 2022; 36(11):7863-7876. doi:10.1007/s00464-022-09662-4.
4. Hosseini S, Ayoub A, Rezaianzadeh A, et al. A survey on concomitant common bile duct stone and symptomatic gallstone and clinical values in Shiraz, Southern Iran. Adv Biomed Res. 2016; 5(1):147. doi:10.4103/2277-9175.187402.
5. Ghazal AH, Sorour MA, El-Riwini M, El-Bahrawy H. Single-step treatment of gall bladder and bile duct stones: A combined endoscopic–laparoscopic technique. Int J Surg. 2009; 7(4):338-346. doi:10.1016/j.ijsu.2009.05.005.
6. Jayaraj M, Mohan BP, Dhindsa BS, et al. Periampullary Diverticula and ERCP Outcomes: A Systematic Review and Meta-Analysis. Dig Dis Sci. 2019; 64(5):1364-1376. doi:10.1007/s10620-018-5314-y.
7. Friis C, Rothman JP, Burcharth J, Rosenberg J. Optimal Timing for Laparoscopic Cholecystectomy After Endoscopic Retrograde Cholangiopancreatography: A Systematic Review. Scand J Surg. 2018;107(2):99-106. doi:10.1177/ 1457496917748224.
8. Lee SJ, Choi IS, Moon JI, Choi YW, Ryu KH. Comparison of one-stage laparoscopic common bile duct exploration plus cholecystectomy and two-stage endoscopic sphincterotomy plus laparoscopic cholecystectomy for concomitant gallbladder and common bile duct stones in patients over 80 years old. J Minim Invasive Surg. 2022;25(1):11-17. doi:10.7602/jmis.2022.25.1.11