Articles Vol. 67 No. CĐ7-Trường ĐH Y Dược Hải Phòng 06/07/2026

OUTCOMES OF LAPAROSCOPIC CHOLECYSTECTOMY COMBINED WITH COMMON BILE DUCT EXPLORATION FOR THE TREATMENT OF CONCOMITANT GALLBLADDER AND COMMON BILE DUCT STONES AT PHU THO PROVINCIAL GENERAL HOSPITAL

Nguyen Hoang Giang1,2, Tran Thanh Tung1,2
1 Phu Tho Provincial General Hospital
2 Bệnh viện Đa khoa tỉnh Phú Thọ
DOI: 10.52163/yhc.v67iCD7.5622
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Keywords
Biliary stones, Laparoscopic cholecystectomy, laparoscopic common bile duct exploration
Abstract

Objective: To evaluate the early outcomes of laparoscopic cholecystectomy combined with common bile duct exploration and intraoperative choledochoscopy for choledocholithiasis at Phu Tho Provincial General Hospital.

Methods: A cross-sectional descriptive study was conducted on 39 patients diagnosed with concomitant gallbladder stones and common bile duct stones.

Results: From June 2022 to June 2025, a total of 39 patients underwent one-stage laparoscopic surgery at Phu Tho Provincial General Hospital. The conversion rate to open surgery was 5.2%, the stone clearance rate was 94.8%, and the postoperative complication rate was 7.7%, including one case (2.6%) requiring reoperation. No mortality was recorded.

Conclusion: One-stage laparoscopic cholecystectomy combined with common bile duct exploration using intraoperative choledochoscopy is a feasible and safe procedure at the provincial hospital level. However, larger studies are needed to further validate its effectiveness.

References
[1]
Petelin J. Laparoscopic common bile duct exploration. Surg Endosc, 17:1705-1715. 2003. Google Scholar
[2]
JP RT. Endoscopic retrograde cholangiopancreatography-related adverse events: general overview. Gastrointest Endosc Clin N Am;25(1):97–106. 2015. Google Scholar
[3]
Manivasagam SS. Single-Stage Laparoscopic Common Bile Duct Exploration and Cholecystectomy Versus Two-Stage Endoscopic Stone Extraction Followed by Laparoscopic Cholecystectomy for Patients With Cholelithiasis and Choledocholithiasis: A Systematic Review. Cureus;16(2):e54685. 2024. Google Scholar
[4]
Zhang D DZ, Sun Y, Sun G, Luo H, Guo X, Gu J, Yang Z. One-Stage Intraoperative ERCP combined with Laparoscopic Cholecystectomy Versus Two-Stage Preoperative ERCP Followed by Laparoscopic Cholecystectomy in the Management of Gallbladder with Common Bile Duct Stones: A Meta-analysis. Adv Ther;41(10):3792-3806. 2024 Google Scholar
[5]
Bắc NH. Khâu kín ống mật chủ thì đầu trong phẫu thuật điều trị sỏi đường mật chính qua ngả nội soi ổ bụng. Y Học Thành Phố Hồ Chí Minh, 10(3):136-140. 2006. Google Scholar
[6]
Cao Minh Tiệp, Phùng Thế Khang ( 2025). Kết quả tán sỏi đường mật bằng phẫu thuật nội soi kết hợp điện thủy lực. Tạp chí Y học Việt Nam tập 552– số 3 – 2025;46-50.2025. Google Scholar
[7]
Zhu J, Sun G, Hong L. Laparoscopic common bile duct exploration in patients with previous upper abdominal surgery. Surgical endoscopy: 1 – 7. 2018. Google Scholar
[8]
Anh BT, Nam NQ. Bước đầu đánh giá kết quả phẫu thuật nội soi trong điều trị sỏi đường mật lại. Tạp chí Y - dược học quân sự, 2: 157 - 161. 2014. Google Scholar
[9]
Bansal VK MM, Rajan K, et al. Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with concomitant gallbladder stones and common bile duct stones: a randomized controlled trial. Surg Endosc, 28:875–885. 2013. Google Scholar
[10]
Tokumura H, Umezawa A, Cao H, et al (2002). Laparoscopic management of common bile duct stones: transcystic approach and choledochotomy. J Hepatobiliary Pancreat Surg;9(2):206-212.. Google Scholar