Surgical Removal of a Huge Common Bile Duct Stone.

Jang Hun Han, Hoonsub So, Sung Jo Bang, Yang Won Nah
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Abstract

A 65-year-old woman was diagnosed with an 8 cm large common bile duct stone and multiple stones in both intrahepatic ducts because of abnormal liver function tests. After a multidisciplinary approach, surgical removal was considered, and primary closure after laparoscopic removal of the common bile duct stone was performed. The patient recovered without complications and was discharged on the fourth postoperative day. Endoscopic removal of common bile duct stones is the standard treatment, but surgical removal through laparoscopic common bile duct exploration is also a safe and effective treatment method for such huge gallstones.

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手术切除巨大胆总管结石
一名 65 岁的妇女因肝功能检查异常,被诊断出患有 8 厘米大的胆总管结石和双肝内胆管多发性结石。经过多学科会诊,考虑手术切除,并在腹腔镜下切除胆总管结石后进行了原发性闭合。患者恢复良好,无并发症,术后第四天出院。内镜下切除胆总管结石是标准的治疗方法,但通过腹腔镜胆总管探查术进行手术切除也是治疗此类巨大胆结石的一种安全有效的方法。
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