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Laparoscopic management of gallstone complications

Abstract

Introduction: Common bile ducts stones are very common diseases in Vietnam and Southeast Aisa. The pathogenesis of the stone is associated with biliary tract infection and intestinal parasiti. The aim of study is to evaluate the results of treatment of gallstone complications by laparoscopis cholecystomy, open the bile duct for gravel, Kehr drainage.
Material and Methods: Prospective study patients with complicated choledocholithiasis were treated with emergency laparoscopic choledocotomy in the first 24 hours. From May 2013 to May 2018.

Results: 83patients, no cases have been converted to open choledocotomy. The mean operation time was 90,75 minutes. There was no intraoperative complication. Postoperative complication consisde of 1 mild infection of umbilical port and 1 mild subhepatic fluid collection. Three cases were treated medically. There was no mortality. The mean hospital stay were 8.72 days.
Conclusion: Laparoscopis cholecystomy, open the bile duct for gravel, Kehr drainage to treat gallstone complications was safe procedure with short hospital lenght stay.