Background: extrahepatic biliary stones (common bile duct stones and gallstones). Treatment of extrahepatic biliary stones have many options from less invasive methods such as endoscopic bile - and cut upstream pancreatic sphincter oddi (ERCP - ES) in laparoscopic surgery, and surgical fat classics as conditions equipment and skilled surgeons. Objective: we performed this study aims to: 1/.Assessment results and laparoscoplc surgery for surgical fat extrahepatic biliary stones in Tra Vinh Hospital. 2/ Complications of each treatment extrahepatic biliary stones Subjects and Methods: Retrospective cross-sectional descriptive. All patients diagnosed with extrahepatic biliary stones and surgical treatment in Tra Vinh Hospital from 01/2006 - 12/2011. Results Study. six years we have treated 360 TH SDMNG including 226 cases of bile duct stones (SOMC) and 134 cases of gallstones (STM) - SOMC. Male 105 cases, 155 cases of women; male/female = 0.67; age (17-88), mean age 57.6; with 158 cases (51, 38 percent) with a history of similar pain or blurred vision before. 114 abdominal pain on the right: 92.5 percent, fever 62.6 percent, jaundice 40.5 percent. Severe biliary tract infection 70/360 (19.44 percent), biliary septic shock: 30/360 cases (8.33 percent). Regarding treatment: 102 cases emergency surgery, laparoscopic surgery 72 cases; surgery without fat 288 cases of serious complications. Complications of laparoscopic surgery was 13.8 percent, complications of PT was 11.8 percent without any case of death. Conclusion: The diagnosis of extrahepatic biliary stones based on clinical, biochemical, important diagnostic imaging with ultrasound for all cases and CT - scan or MRCP can specify options. SOMC PTNS treatment is very effective and adipose tissue. For gall stones - bile duct stones is endoscopic surgery is still surgery fat options to resolve any situation.
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