NHẬN XÉT MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI ĐIỀU TRỊ SỎI ĐƯỜNG MẬT TẠI BỆNH VIỆN THỐNG NHẤT

Abstract

Objectives: To describe clinical, paraclinical characteristics and early results of laparoscopic surgery for biliary stones. Methods: A retrospective, descriptive study was conducted on 118 patients who underwent laparoscopic surgery for biliary stones at Thong Nhat Hospital from June 2019 to June 2024. Results: The mean age was 65.8 ± 15.7 years; females accounted for 56.8%; abdominal pain was present in 93.2% of patients, Charcot's triad in 19.5%, a history of abdominal surgery in 18.6%, and 79.7% of patients lived in urban areas. Increased leukocyte count was 29.7%; increased liver enzymes was 74.6%; increased bilirubin was 72.0%; bilirubin or urobilinogen in urine was 66.1%. Ultrasound sensitivity: Gallbladder stones was 93.1%, common bile duct stones was 33.9%, intrahepatic stones was 72.7%. Computed tomography sensitivity: Gallbladder stones was 87.5%, common bile duct stones was 89.9%, intrahepatic stones was 86.4%. Technique: Stone retrieval with a basket accounted for 100%, and intraoperative lithotripsy accounted for 61.0%. The mean operative time was 162.2 ± 56.0 minutes; the mean hospital stay was 9.4 ± 3.4 days; and the complication rate was 15.3%. The stone clearance rate was 89.8%. Conclusion:Biliary stone disease is common in elderly patients; the combined use of ultrasound and computed tomography provides high diagnostic value. Surgical outcomes are feasible and safe.