INITIAL RESULTS OF SURGICAL TREATMENT FOR RECURRENCE OF BILIARY STONES WITH LAPAROSCOPIC SURGERY COMBINED WITH CHOLEDOCHOSCOPY AT MILITARY HOSPITAL 175
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Abstract
Objectives: To evaluate the outcomes of laparoscopic surgery combined with choledochoscopy for the management of recurrent biliary stones. Methods: A prospective, descriptive study was conducted on 34 patients with recurrent bile duct stones treated with laparoscopic surgery combined with cholangioscopy for stone removal at Military Hospital 175 between June 2021 and June 2025. Results: A total of 34 patients with recurrent bile duct stones underwent laparoscopic surgery combined with intraoperative choledochoscopy for stone removal. The mean age was 54.24 years (range, 28 - 80), with a female predominance (76.5%). Most patients had a history of prior bile duct stone surgery once (55.9%), and stone recurrence occurred after more than 2 years in 73.5% of cases. Combined common bile duct and intrahepatic stones were the most common (41.2%). The conversion rate to open surgery was 23.5%, with a mean operative time of 126 ± 25.5 minutes. Intraoperative complications occurred in 11.7% of cases, and the mean hospital stay was 7.2 days. The initial complete stone clearance rate was 76.9%, while intentional stone retention and missed stones accounted for 15.4% and 7.7%, respectively. During a mean follow-up period of 16.8 months, stone recurrence was observed in 5 cases (19.2%). Conclusion: Laparoscopic surgery combined with intraoperative choledochoscopy for the management of recurrent bile duct stones has demonstrated promising initial outcomes.
Keywords
Recurrent choledocholithiasis, Choledochoscopy, Laparoscopic Common bile duct exploration
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References
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