EVALUATION OF PRELIMINARY RESULTS OF ENDOSCOPIC LITHOTRIPSY THROUGH T-TUBE TRACT AT CAN THO CENTRAL GENERAL HOSPITAL FROM 2020 TO 2021
Main Article Content
Abstract
Background: Gallstones in the liver are common among Vietnamese people, but the treatment remains difficult as the rate of stone retention and recurrence is high, especially when there is inflammation of the biliary tract. Objectives: To study on clinical and subclinical characteristics and evaluate the results of treatment of gallstones treated by electrohydraulic lithotripsy through T-tube tract at Can Tho Central General Hospital from May 2020 to January 2021. Materials and methods: 53 patients with remaining bile duct stones after operation were performed endoscopic lithotripsy through T-tube tract. Results: Intrahepatic stones were found in 100%. 41.51% of the patients had stones in both sides of liver. The ability of approaching of endoscopic machine was 100%. Clearance of stones was 86.79%, remaining stones accounted for 13.21%. The average number of times of lithotripsy was 1.62 ± 0.90, complication rate was 5.66% (biliary tract bleeding). Conclusion: The study of 53 cases of electrohydraulic lithotripsy through Ttube tract shows that the procedure has been a simple, yet highly effective and gentle technique for patients, and can resolve internal and external gallstones, the ability to access stones by the bronchoscope is good, the rate of stone clearance is high and the rate of complications is low.
Keywords
gallstones, endoscopic lithotripsy through T-tube tract
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
2. Trần Hoàng Ân và cs (2013), Tỉ lệ sạch sỏi của phương pháp điều trị sót sỏi đường mật trong gan qua đường hầm ống Kehr, Y học TP Hồ Chí Minh, 17 (phụ bản của số 4), tr. 59-65. 3. Võ Đại Dũng, Lê Nguyên Khôi và Đoàn Văn Trân (2015), Phẫu thuật nội soi trong điều trị sỏi đường mật trong gan, Y học TP. Hồ Chí Minh, 19(5), tr. 91-100.
4. Nguyễn Đình Hối, Nguyễn Mậu Anh (2012), Sót sỏi và còn sỏi sau mổ lấy sỏi đường mật, Sỏi đường mật, Nhà xuất bản Y học, tr. 449-441.
5. Dương Xuân Lộc, Hoàng Trọng Nhật Phương, Hồ Văn Linh và cs (2012), Hiệu quả tán sỏi điện thủy lực trong sỏi mật mổ lại, 19 (6), Tạp chí Gan mật Việt Nam, tr. 44-51.
6. Đặng Tâm, Lê Nguyên Khôi (2008), Đánh giá phương pháp lấy sỏi mật nội soi xuyên gan qua da, 20 (4), Tạp chí Y học Thành phố Hồ Chí Minh, tr. 274-283.
7. Trần Đình Thơ, (2006), Nghiên cứu ứng dụng siêu âm kết hợp nội soi đường mật trong mổ để điều trị sỏi trong gan, Luận án Tiến sỹ Y học, Đại học Y Hà Nội.
8. Chen Y, Jiang ZJ, Wang WL et al. (2013), Management of hepatolithiasis with operative choledochoscopic freddy laser lithotripsy combined with or without hepatectomy, 12 (2), Hepatobiliary Pancreat Dis Int, pp. 160-164.
9. Hamba H, Uenishi T, Takemura S et al. (2009), Outcomes of hepatic resection for hepatolithiasis, 19 (2), The American Journal of Surgery, pp. 199-202.
10. KS Jeng (1992), Bile duct stents in the management of hepatolithiasis with longsegment intrahepatic biliary strictures, Vol 79, Br J Surg, pp. 636-666.
11. Naveen Arya, Sandra E Nelles (2004), Electrohydraulic lithotripsy in 111 patients: A safe and effective therapy for difficult bile duct stones, American Journal of Gastroenterology, pp. 2330-2334.