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THE RESULTS OF THE COMBINATION OF LAPAROSCOPIC CHOLECYSTECTOMY AND ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN THE TREATMENT OF GALLSTONES WITH COMMON BILE DUCT STONES AT CAN THO GENERAL HOSPITAL IN 2022 – 2023
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Abstract
Background: The prevalance of gallstones fluctuates around 10 - 20% in the world and about 20% of cases are symptomatic. The rate of gallstones with common bile duct stones is about 5 - 15%. The optimal treatment is the combination of laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography. Objective: To evaluate the results of treatment of gallstones with common bile duct stones by the combined method of laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography. Materials and methods: A prospective research reports on a series of 30 cases (descriptive study on 30 patients) with gallstones with common bile duct stones who were treated by the combined method of laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography at the Department of General Surgery, Can Tho General Hospital. Results: The mean age was 65.9 ± 16.29 (31 - 89), the female/male ratio was 2.75/1. The successful rate was 100%. The rate of stone clearance reached 96.67% at first attempt. The average time of endoscopic retrograde cholangiopancreatography was 31.53 ± 9.34 minutes. The average time of the laparoscopic cholecystectomy was 62.57 ± 26.74 minutes. The rate of complications of acute pancreatitis accounted for 6.67%. The rate of bile fistula complications accounts for 3.33%. Conclusions: The combination of laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography is a safe and effective method of treating gallstones with common bile duct stones, with a high rate of stone clearance.
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Keywords
gallstone, common bile duct stone, laparoscopic cholecystectomy, endoscopic retrograde cholangiopancreatography
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