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Nguyễn Văn Hương, Lê Anh Xuân, Nguyễn Huy Toàn, Nguyễn Văn Hồng(1)

Đánh giá kết quả phẫu thuật lấy sỏi ống mật chủ nội soi điều trị sỏi đường mật tại Bệnh viện Hữu nghị đa khoa Nghệ An

Evaluation the results of laparoscopic choledochotomies to management principal bile duct stones together with endoscopic lithotripsy and lithotripsy through tunnels Kehr in Nghe an General Friendship Hospital

Gan mật Việt Nam

2014

30

55-62

1859-431X

Sỏi đường mật, ống mật chủ, Phẫu thuật nội soi, Điều trị, Đánh giá kết quả

Subiects: Evaluation the results of laparoscopic choledochotomies to management principal bile duct stones together with endoscopic lithotripsy and lithotripsy through tunnels Kehr. Methods: Retrospective descriptive study combined a prospective of 113 patients of biliary stones or gallstones have accompanying operative laparoscopy remove the stones from January 2009 to December 2013 in Nghe an General Friendship Hospital. Results: The total number of 113 patients with 38 male (33,6 percent), 75 women (66,4 percent); mean age 48 +/- 15,5 (15-87). 69,9 percent were open surgical taken stones of common bile duct and drainage Kehr; open surgical taken stones of common bile duct and drainage Kehr accompanied cholecystectomy by 19,5 percent; Open common bile duct and sewing common bile duct 5,3 percent; rate to open surgery was 5,3 percent. Surgical time: 85 +/- 3,7 minutes (50-150 minutes); Complications after surgery was 7,2 percent with 2 cases of postoperative bleeding, 1 case of bile leakage, 2 cases of residual abscess, 3 cases of wound infection. Lithotripsy through the tunnel Kehr is 53,1 percent, of which 24 percent had lithotripsy or more 3 times and a maximum of 6 times with 1,8 percent. Conclusions: Surgery laparoscopic with the open taken stones of common bile duct together with lithotripsy through tunnels Kehr achieve good results in the treatment of gallstone disease with rate stones clearance 92.7 percent, surgical complications and postoperative lower.

TTKHCNQG, CVv 339

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