KẾT QUẢ SỚM ĐIỀU TRỊ SỎI ĐƯỜNG MẬT CHÍNH BẰNG PHƯƠNG PHÁP NỘI SOI MẬT TỤY NGƯỢC DÒNG TẠI CẦN THƠ

Abstract

Background: There are many methods for treating common bile duct stones such as open surgery, laparoscopic surgery, percutaneous stone removal or endoscopic retrograde cholangiopancreatography (ERCP). Among them, ERCP is considered to have many advantages. Objectives: To evaluate the results of treatment of common bile duct stones by endoscopic retrograde cholangiopancreatography. Materials and method: A prospective, clinical interventional study on 63 patients with common bile duct stones treated by endoscopic retrograde cholangiopancreatography at Can Tho University of Medicine and Pharmacy Hospital and Can Tho General Hospital from May 2023 to April 2024.  Results: The average age was 65.8 ± 15.3 years. Age group > 60 accounted for 60.3%. Females accounted for 66.7%. Right upper quadrant pain occured in all patients (100%). The most common complication of common bile duct stones was cholangitis (60.3%).  The mean operating time was 50.6 ± 20.7 minutes. The rate of stone clearance was 96.8%. There were 2 cases where stones could not be removed, accounted for 3.2%. Bleeding occurred in 3.2% of patients. The rate of acute pancreatitis and biliary tract infection after ERCP was 1.6%. The average postoperative hospital stay was 4.1 ± 2.2 days. The good results were 87.3%. No negative results recorded. Conclusion: Treatment of common bile duct stones by endoscopic retrograde cholangiopancreatography is a safe and effective method with high success and stone clearance rates, and low rates of complications.