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Question
Hello doctor,
My mother operated on the common bile duct 21 days ago. Currently, there are stones on both sides of the liver wall and in the gallbladder as well as the common bile duct, there are still kehr ducts, is there a method of lithotripsy through kehr? Please advise the safest and most effective method to completely remove stones in the liver and bile.
Nguyen Thi Nguyet Anh (1990)
Reply
Hello,
To the question "How to completely remove stones in the liver and bile?", the doctor would like to answer as follows:
After surgery for common bile duct stones, There is still a risk of stones again, possibly stones in the liver drifting down the common bile duct Currently, the kehr method of biliary lithotripsy is rarely applied because of its complexity and the risk of complications such as leaking bile into the fossa. belly. Methods to completely remove the stone in this case: open cholecystectomy, open the common bile duct to remove the stone, and preferred biliary-enteric anastomosis. If you still have questions about the treatment after surgery for common bile duct stones, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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Answered by Resident Doctor Le Thanh Tuan - General Surgery Department - Vinmec Nha Trang International General Hospital.