KẾT QUẢ SỚM PHẪU THUẬT MỞ ỐNG MẬT CHỦ LẤY SỎI KẾT HỢP NỘI SOI ĐƯỜNG MẬT TÁN SỎI BẰNG LASER ĐIỀU TRỊ SỎI ĐƯỜNG MẬT CHÍNH TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objectives: To evaluate early results of open common bile duct surgery for stone removal combined with endoscopic laser lithotripsy. Methods: A retrospective and prospective, descriptive study was conducted on 68 patients who underwent open common bile duct surgery for stone removal combined with endoscopic laser lithotripsy at 108 Military Central Hospital from January 2024 to May 2025. Results: The average age was 57.65 ± 13.77 years; females accounted for 58.8%; abdominal pain symptoms accounted for 100.0%; Charcot's triad accounted for 20.6%; history of abdominal surgery accounted for 13.2%; complications of biliary tract infection accounted for 94.1%. Increased WBC count was 38.2%; increased bilirubin was 25.0%; stone characteristics: ≥ 3 stones (92.6%), ≥ 10mm (77.9%), common bile duct stones and intrahepatic stones (48.5%); the average size of common bile duct stones was 13.58 ± 6.59, 85.3% had dilated common bile duct, 66.2% had strictures in the intrahepatic bile ducts. The average surgical time was 124.88 ± 29.98 minutes; the complication rate was 13.2%; the incidence of complications was 25.0%; the average hospital stay was 11.5 ± 4.79 days; the stone clearance rate was 75.0%. Conclusion: Open common bile duct surgery for stone removal combined with endoscopic laser lithotripsy is a feasible and safe treatment method for common bile duct stones.