Kết quả phẫu thuật cấp cứu sỏi đường mật tại Bệnh viện Hữu Nghị Việt Đức ( Từ 1/1/2008 đến 1/1/2009)

Purpose. Describe clinical and paraclinical characteristics. Evaluation of the early results of cases of emergency surgery because of biliary stones at Viet Duc Hospital from 1/20081/2009. Patients and Methods. a described retrospective study in patients with emergency surgery because of biliary stones at Viet Duc Hospital from 1/1/2008 to 1/1/2009. Results and discussion: during 135 patients in study, women were more males (54.80 percent). Mean age: 56.97 + or - 16.75 (range: 23-92). Farming accounts for the majority (60.7 percent). Clinical: 54.9 percent with a prehistory of biliary stone surgery;79.3 percent have triad of Charcot. The abdominal tenderness and Blumberg signe were common (96.3 percent). Paraclinical: Ultrasound correctly identified 86.7 percent of biliary stones. Most patients with angiocholitis (92.3 percent), coordinated by multiple strains (54.7 percent), Ecoli is the most common species (54.7 percent). Choleperitoine and bile peritonitis accounts for 51.85 percent. Calculi were often multiple (49.6 percent) and associated with intrahepatic stones (65.2 percent). The method is mainly choledochotomy with T tube drain (99.3 percent). Co-ordinate cholecystectomy represented 71.1 percent. Residual stones were observed in 64.5 percent; Postoperative complications accounted for 5.9 percent of patients. Nobody required reintervention, no deaths. Conclusion: Emergency surgery due to the bile duct stones were common at the age of 56.97 + or - 16.795; ratio of female/male = 1.21. Majority of cause were choleperitoine and bile peritonitis (51.85 percent). The major meth'od was choledochotomy to remove stones with T tube drain (99.3 percent). Residual stones were 64.5 percent (located, in sector and segment: 54.1 percent). Postoperative complications accounted for 5.9 percent. The average length of hospitalization: 12.25 + or - 5.24 days.