<strong>Abstract</strong> <em>Introduction: </em>To describe clinical and para-clinical characteristics of bile duct stones and results of laparoscopic choledochotomies in management of bile duct stones. <em>Materials and methods: </em>Retrospective and prospective study in 152 bile duct stones patient, who underwent laparoscopic choledochotomy with or without usage of flexible bile ducts scope and electrohydraulic technique, from January 2009 to May 2019 at Hue Central Hospital. <em>Results: </em>Mean age 54,2 (22 - 84), 66 male and 86 female, mean operative time: 135 minutes (90 - 235), intraoperative complications: 3,29%, open conversion: 5,92%. Complete stone clearance was achieved in 91,6% patients. Postoperative complications: 7,69%. <em>Conclusions: </em>Managementofbileductstonesbylaparoscopiccholedochotomy is safe and effective with high percentage of stones clearence, as well as low intraoperative and postoperative complications. This procedure can achieve good results if bile ducts scope and electrohydraulic technique were concomitantly applied. <strong>Keyword: </strong>Bile duct stones, Biliary drainage, Laparoscopy, Choledochotomy. <strong>References</strong> <ol> <li>Cao Viet Dung (2009), “Application of laparoscopic surgery in treatment of gallstones” Khanh Hoa surgical conference, 149-157.</li> <li>Le Loc, Pham Nhu Hiep (2002), “Initial surgical laparoscopy to remove unique stone of common bile duct at Hue Central Hospital”, Proceeding of full text of scientific topics, 51-55.</li> <li>Tran Nhu Nguyen Phuong (2008), “Treatment of stones of common bile duct by ERCP at Hue Central Hospital”, Journal of Medecine of Ho Chi Minh City, episode 12, sub vertion 4, 329-332.</li> <li>Ñang Tam, Le Nguyen Khoi (2008), “Evaluation of percutaneous transhepatic endoscopy to remove gallstones”, Journal of Medecine of Ho Chi Minh City, episode 12, sub vertion 4, 274-281.</li> <li>Waage, C.Stromberg, C.-E Leijonmarck, D. Arvidsson (2003), ”Long-term results from laparoscopic common bile duct exploration”, Surg Endosc, 17: 1181–1185.</li> <li>Chen, SY. Hu, L. Wang, KX. Wang, GY. Zhang, HF. Zhang (2007), ” Reoperation of Biliary Tract by Laparoscopy: A Consecutive series of 26 Cases”, Acta chir belg,107, 292-296</li> <li>CN Tang, KK Tsui, JPY Ha, WT Siu, MKW Li (2006), ”Laparoscopic exploration of the common bile duct: 10-year experience of 174 patients from a single centre”, Hong Kong Med J;12:191-19</li> <li>Dan I. Giurgiu (1999), ”Laparoscopic Common Bile Duct Exploration Long-term Outcome”, Arch Surg, 134:839-844</li> <li>Ch. Berthou, B. Dron, Ph. Charbonneau, K. Moussalier, L. Pellissier (2007), ”Evaluation of laparoscopic treatment of common bile duct stones in a prospective series of 505 patients: indications and results” Surg Endosc, 21: 1970-1974.</li> <li>Leslie K. Nathanson (2005), ”Postoperative ERCP Versus Laparoscopic Choledochotomy for Clearance of Selected Bile Duct Calculi A Randomized Trial”, Ann Surg, 242: 188–192.</li> <li>Kadam R et al (2016), “Laparoscopic common bile duct exploration versus ERCP/stenting and cholecystectomy: Is a single staged procedure better?”, Int J Hepatobiliary Pancreat Dis, 6: 57-63.</li> <li>S S Rai (2006) "Comparion of long-term results of laparoscopic and endoscopic exploration common bile duct”, Journal of minimal access surgery, volume 2, issue.</li> <li>Lee Hyung Mo, et al (2014), “Long-term results of laparoscopic common bile duct exploration by choledochotomy for choledocholithiasis: 15-year experience from a single center”, Ann Surg Treat Res, 86(1), 1-6.</li> <li>Qi Wei, Hong-Jie Hu, Xiao-Yan Cai, Li-Bo Li, Guan-Yu Wang (2004), “Biliary drainage after laparoscopic choledochotomy”, World J Gastroenterol, 10(21):3175-3178.</li> <li>Williams E et al (2017), “Updated guideline on the management of the common bile duct stones (CBDS)”, BMJ, 66:765-782.</li> </ol> <!--more--> <a href="https://vjsel.vn/wp-content/uploads/2021/03/TC-PTNS-so-4-tap-10-NĂM-2020-BÀI-3.pdf">Download PDF File</a>
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