1114 PLACEMENT OF A BILIARY SPONTANEOUS DISLODGEMENT SPIRAL STENT FOR SHORT-TERM BILIARY DRAINAGE AFTER ENDOSCOPIC CLEARANCE OF COMMON BILE DUCT STONES: A PROSPECTIVE PILOT STUDY

Tóm tắt Đặt vấn đề: Đánh giá kết quả phẫu thuật nội soi điều trị sỏi đường mật. Phương pháp nghiên cứu: Nghiên cứu hồi cứu mô tả trên 203 người bệnh, được chẩn đoán sỏi đường mật chính, được phẫu thuật nội soi lấy sỏi tại Bệnh viện Hữu nghị Đa khoa Nghệ An từ 01/01/2014 đến 01/06/2019. Kết quả: Tổng số 203 người bệnh với 74 nam (36,5%), 129 nữ (63,5%); độ tuổi trung bình 63,62 ± 17,7 (17 - 94) tuổi. Phẫu thuật mở ống mật chủ lấy sỏi, dẫn lưu Kehr 43,8%; mở ống mật chủ + dẫn lưu Kehr + cắt túi mật 44,8%; mở ống mật chủ + khâu kín ống mật chủ 3,9%; chuyển mổ mở 7,4%. Thời gian phẫu thuật 85,2 ± 15,7 phút (64 - 156 phút), thời gian hậu phẫu 5,7 ± 1,07 ngày. Biến chứng chung sau phẫu thuật là 5,5%. Kết luận: Phẫu thuật mở ống mật chủ (OMC) nội soi điều trị sỏi đường mật an toàn, hiệu quả. Abstract Introduction: Evaluation of the results of laparoscopic treatment for common bile duct stones. Materials and Methods: Retrospective descriptive study of 203 patients diagnosed the common bile duct stones, underwent laparoscopic surgery from January 2014 to June 2019 in Nghe An Friendship General Hospital. Results: There were total 203 patients including 74 men (36,5%), 129 women (63,5%); mean age was 63,62 ± 17,7 (17 - 94). Biliary drainage by T tube after choledochotomy was in 43,8%; Biliary drainage with T tube after choledochotomy associated with cholecystectomy was in 44,8%; Choledochotomy without drainage was in 3,9%. The convert to laparotomy was (7,4%). The operative time was 85,2 ± 15,7 minutes (64-156 minutes). Postoperative length stay was 5,7 ± 1,07 days. The morbidity rate was 5,5%. Conclusion: Choledochotomy by laparoscopic surgery for common bile duct stones was feasible and effective. Keywords: Laparoscopic surgery, common bile duct stones, gallbladder stones.

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Quantitative Analysis of Focal Liver Injury Using the Apparent Diffusion Coefficient in Patients with Biliary Obstruction from Common Bile Duct Stones: A Pilot Study

Current Molecular Imaginge ◽

10.2174/2211555204666150226232657 ◽

2015 ◽

Vol 3 (3) ◽

pp. 240-245

Author(s):

Shunlin Guo ◽

Junqiang Lei ◽

Yanan Zhai ◽

Ping Chen ◽

Hao Zhang ◽

...

Keyword(s):

Diffusion Coefficient ◽

Quantitative Analysis ◽

Pilot Study ◽

Bile Duct ◽

Liver Injury ◽

Common Bile Duct ◽

Biliary Obstruction ◽

Common Bile Duct Stones ◽

Bile Duct Stones ◽

Apparent Diffusion

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263 Short-Term Endoscopic Nasobiliary Drainage After Endoscopic Removal of Common Bile Duct Stones Reduces the Recurrence of Biliary Stones

Gastroenterology ◽

10.1016/s0016-5085(12)60241-8 ◽

2012 ◽

Vol 142 (5) ◽

pp. S-62

Author(s):

Akihiko Satoh ◽

Shuuichi Sato ◽

Hidetomo Konishi ◽

Takashi Arai ◽

Mami Kida ◽

...

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Common Bile Duct Stones ◽

Bile Duct Stones ◽

Endoscopic Removal ◽

Short Term ◽

Biliary Stones ◽

Endoscopic Nasobiliary Drainage ◽

Nasobiliary Drainage

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Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline

Endoscopy ◽

10.1055/a-0862-0346 ◽

2019 ◽

Vol 51 (05) ◽

pp. 472-491 ◽

Cited By ~ 49

Author(s):

Gianpiero Manes ◽

Gregorios Paspatis ◽

Lars Aabakken ◽

Andrea Anderloni ◽

Marianna Arvanitakis ◽

...

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Biliary Drainage ◽

Acute Cholangitis ◽

Common Bile Duct Stones ◽

Bile Duct Stones ◽

Abdominal Ultrasonography ◽

Strong Recommendation ◽

Moderate Quality ◽

Quality Evidence

Main RecommendationsESGE recommends offering stone extraction to all patients with common bile duct stones, symptomatic or not, who are fit enough to tolerate the intervention.Strong recommendation, low quality evidence.ESGE recommends liver function tests and abdominal ultrasonography as the initial diagnostic steps for suspected common bile duct stones. Combining these tests defines the probability of having common bile duct stones.Strong recommendation, moderate quality evidence.ESGE recommends endoscopic ultrasonography or magnetic resonance cholangiopancreatography to diagnose common bile duct stones in patients with persistent clinical suspicion but insufficient evidence of stones on abdominal ultrasonography.Strong recommendation, moderate quality evidence.ESGE recommends the following timing for biliary drainage, preferably endoscopic, in patients with acute cholangitis, classified according to the 2018 revision of the Tokyo Guidelines:– severe, as soon as possible and within 12 hours for patients with septic shock– moderate, within 48 – 72 hours– mild, elective.Strong recommendation, low quality evidence.ESGE recommends endoscopic placement of a temporary biliary plastic stent in patients with irretrievable biliary stones that warrant biliary drainage.Strong recommendation, moderate quality of evidence.ESGE recommends limited sphincterotomy combined with endoscopic papillary large-balloon dilation as the first-line approach to remove difficult common bile duct stones. Strong recommendation, high quality evidence.ESGE recommends the use of cholangioscopy-assisted intraluminal lithotripsy (electrohydraulic or laser) as an effective and safe treatment of difficult bile duct stones.Strong recommendation, moderate quality evidence.ESGE recommends performing a laparoscopic cholecystectomy within 2 weeks from ERCP for patients treated for choledocholithiasis to reduce the conversion rate and the risk of recurrent biliary events. Strong recommendation, moderate quality evidence.

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