The Laparoscopy, Choledochoscopy, Duodenoscopy, Step by Step Dilatable Catheter, the Small Incision of Papillary Sphincterotomy, T Tube + Double Biliary Catheter Bundling and Supporting Drainage for Treatment of the Left Lateral Lobe Hepatic Duct and Common Bile Duct Stones during the Course of Therapeutic Laparoscopy: A Report of 15 Cases

2018 ◽  
Vol 07 (04) ◽  
pp. 31-37
Author(s):  
安平 陈
1988 ◽  
Vol 58 (5) ◽  
pp. 387-389 ◽  
Author(s):  
W. A. Brough ◽  
A. Sali ◽  
O. Hennessy ◽  
A. McKenzie ◽  
G. A. Kune

2016 ◽  
pp. 116-124
Author(s):  
Trong Long Than ◽  
Viet Nho Le ◽  
Tan Toan Le ◽  
Quang Huy Truong

Background and objectives: ERCP is helpful technique in the diagnosis and treatment of some pancreatobilinary diseases. Purposes of this study are studying clinical characteristics, imaging of patients pancreatobilinary diseases indicated for ERCP as well as treatment results and safety of ERCP in the treatment of some pancreatobilinary diseases. Materials and methods: a observational study of results of ERCP application in the patients with bilinary stones and Oddi sphincter stenosis, pancreatic tumors at Quangnam Central General Hospital from 6/2013 till 5/2015. Results: Among 30 patients selected for study, there are 26 patients with bile duct stones (86.6%), 1 patients with Oddi sphincter stenosis and 1 bile duct stenosis (6.7%) and 2 patients with pancreatic tumors (6.7%). In patients with bile duct stones, 12 patients were complicated by obstructive jaundice. Among them, 11 patients were complicated by bilinary infection (42.3%), 5 patients had hyperamylasemia (19.2%), 2 patients were complicated by acute pancreatitis (7.7%); in patients with Oddi sphincter stenosis and 1 bile duct stenosis, in patients with pancreatic tumors. The complete success rate of stone removing is 81.3% in common bile duct stones. The complete success rate of stone removing is 42.9% in common bile duct stones combined with hepatic duct stones. We can not remove stones in all 3 patients with only hepatic duct stones. The complication rate of ERCP is 13.3%, including 2 acute pancreatitis (6.7%), 2 bleeding (6.7%). Conclusions: Bile duct stones are the commonest pancreatobilinary diseases which were selected for ERCP. ERCP is the safe, effective technique in the treatment of pancreatobilinary diseases. Key words: (Endoscopic Retrograde Cholangio-Pancreatography: ERCP);


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Huy Toàn Nguyễn ◽  

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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