ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT MỞ ỐNG MẬT CHỦ KẾT HỢP NỘI SOI ĐƯỜNG MẬT TRONG MỔ ĐIỀU TRỊ SỎI ĐƯỜNG MẬT CHÍNH TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objective: To evaluate the results of choledochotomy combined with intraoperative cholangioscopy for the treatment of primary bile duct stones at Military Hospital 103. Patient and methods: Descriptive, retrospective and prospective, non-controlled research on patients with primary bile duct stones treated by choledochotomy combined with intraoperative at the Abdominal surgery centre - Military hospital 103 from May 2022 to May 2024. Results: Study on 47 patients. Average age: 59.62 ± 12.58; Female/male ratio = 1.93/1; 47.8% of patients had a history of biliary stone. Multiple stones accounted for the majority (80.85%) and were present simultaneously in both the intrahepatic and extrahepatic bile ducts with diverse morphology. Stone removal methods were done by Mirizi forceps and basket; stone lithotripsies were electrohydraulic and laser. The overall stone clearance rate was 74.46%, and the remaining stone rate was 25.54%. The ratio of intraoperative complications was 12.76%, and postoperative complications were 14.88%. Postoperative outcome classification showed that 74.47% had good results, and there were no deaths or severe complications requiring reoperation. Conclusion: Choledochotomy combined with intraoperative cholangioscopy is initially a safe and effective method for treating primary bile duct stones. This method has a high rate of stone clearance and a low rate of complications.