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Assess the early result of laparoscopic choledochotomy to treat biliary tract stones
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Assess the early result of laparoscopic choledochotomy to treat biliary tract stones
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Biliary tract stones is a common disease. The treatment still faces with many difficulties and the residual rate is still high. Laparoscopic surgery to treat biliary tract stones has many advantages such as no much pain and less postoperative hospital stay. | Journal of military pharmaco-medicine no9-2018 ASSESS THE EARLY RESULT OF LAPAROSCOPIC CHOLEDOCHOTOMY TO TREAT BILIARY TRACT STONES Su Quoc Khoi1; Nguyen Van Xuyen2; Dang Viet Dung2 SUMMARY Background: Biliary tract stones is a common disease. The treatment still faces with many difficulties and the residual rate is still high. Laparoscopic surgery to treat biliary tract stones has many advantages such as no much pain and less postoperative hospital stay. Therefore, it is indicated more and more in treating biliary tract stones. Objectives: To assess the early results of laparoscopic choledochotomy in treatment of biliary tract stones. Subjects and methods: A prospective study includes totally 103 patients. Results: Laparoscopic choledochotomy in treatment of biliary tract stones was performed on 103 cases with female/male ratio of 35/68. 64 patients had never undergone bile duct surgery before, 39 cases of biliary tract were reoperated, success rate: 97.1%, conversion to open: 2.9%, postoperative hospital stay: 10.5 ± 2.7 days, the proportion of the first time stone clearance: 83.0%, the rate of remaining stone: 17.0%. Conclusions: Laparoscopic choledochotomy in treatment of biliary tract stones has high successful rate and high proportion of stone clearance, low rate of accidence, no death. * Keywords: Biliary tract stones; Laparoscopy; Choledochotomy. INTRODUCTION General Hospital since 2014, but not yet Biliary stones are common diseases in Vietnam as well as in the world. Choledocholithis in our country is usually primary stones, large numbers, large size, many positions. There are a number of different methods to treat biliary tract stones, but surgery still plays an important role in eliminating all stones, reducing recurrence, early recovery. Laparoscopic surgery has the advantage of anesthesia, painlessness, early recovery. Laparoscopic choledochotomy to remove common bile duct stones has been applied at Kiengiang fully evaluated. Therefore, we .
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