KẾT QUẢ ĐIỀU TRỊ MỘT THÌ SỎI TÚI MẬT PHỐI HỢP SỎI ỐNG MẬT CHỦ BẰNG CẮT TÚI MẬT NỘI SOI VÀ NỘI SOI MẬT TỤY NGƯỢC DÒNG

Abstract

Objectives: To evaluate the early results of one-stage treatment of cholelithiasis in combination with common bile duct stones by laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography. Subjects and methods: A retrospective descriptive study on 44 patients treated with single-stage gallstones in combination with common bile duct stones by laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography at Ha Medical University Hospital From January 2018 to December 2022. Results: Mean age was 55.43 ± 18.12. Females accounted for the majority with 52.3%. 20 patients (45.5%) underwent endocarditis first and then had CTE surgery. 43/44 patients were successfully performed endoscopic intervention to remove OMC stones, 1 failed case had to be transferred to open laparoscopic OMC to remove stones, endoscopic cholangiography. The complications encountered all appeared after the procedure of NTDs. There were 6 complications (14%) including 1 case of duodenal perforation, 1 case of bleeding and 4 cases of acute pancreatitis. The gravel clean rate is 100%. The mean postoperative hospital stay was 3.93 ± 2.30. Conclusion: Laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography in the same period for the treatment of gallstones in combination with common bile duct stones is a safe, effective technique with high success rates and high rates of success. Low complication rate, short hospital stay, should be applied in medical facilities with full equipment and experienced surgeons.