Articles Vol. 67 No. 2 02/03/2026

EVALUATION OF CLINICAL AND PARACLINICAL CHARACTERISTICS IN CASES OF RESIDUAL BILE DUCT STONES AFTER BILIARY STONE SURGERY

Long Huynh Thanh1,2,3,4, Quyet Nguyen Ta5,6,7,8, Khoi Le Nguyen9,10, Tuan Le Duc Anh9,10
1 Nguyen Tat Thanh University
2 Nguyen Tri Phuong Hospital
3 Trường Đại học Nguyễn Tất Thành
4 Bệnh viện Nguyễn Tri Phương
5 Binh Dan Hospital
6 Ho Chi Minh City University of Medicine and Pharmacy
7 Bệnh viện Bình Dân
8 Đại học Y Dược Thành phố Hồ Chí Minh
9 Pham Ngoc Thach University of Medicine
10 Trường Đại học Y khoa Phạm Ngọc Thạch
DOI: 10.52163/yhc.v67i2.4338
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Abstract

Objective: To describe clinical, paraclinical, and cholangioscopic features in patients with residual bile duct stones undergoing cholangioscopy via a Kehr T-tube tract at Binh Dan Hospital.

Methods: A retrospective descriptive study of 207 patients who underwent T-tube tract cholangioscopy at the Hepatobiliary Department, Binh Dan Hospital, from January 2022 to April 2025. Collected variables included demographics, comorbidities and ASA class, pre-cholangioscopy ultrasound and T-tube cholangiography, and endoscopic findings (tract maturation, stone location/burden, obstruction, and inflamed/easily bleeding mucosa). Descriptive analysis was performed.

Results: Mean age was 59.46 ± 13.85 years; 64.3% were female. Most patients had no comorbidities (76.3%); ASA II and III accounted for 84.1% and 15.0%, respectively. On ultrasound, intrahepatic stones accounted for 60.9%, extrahepatic/CBD stones 12.1%, and combined lesions 27.0%. The tract was mature in 96.7% of cases. Obstructive stones were present in 20.3%. At cholangioscopy, intrahepatic stones were seen in 47.4%, extrahepatic stones 33.8%, and combined lesions 18.8%; <5 stones in 64.3% and staghorn stones in 7.2%. Inflamed and easily bleeding bile ducts were noted in 10.1%.

Conclusions: Patients undergoing T-tube tract cholangioscopy were predominantly elderly females with ASA II–III. Intrahepatic stones predominated, while most tracts were well matured, facilitating endoscopic access.

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