1 How to best treat bile duct stones
The treatment of bile duct stones includes non-surgical treatment and surgical treatment. Non-surgical treatment refers to anti-inflammatory, stomach protection, liver protection, and liver soothing. Choleric treatment is the basic treatment method to relieve symptoms, shorten the course of disease, reduce recurrence, and avoid complications; surgical treatment includes surgical treatment of extrahepatic bile duct stones, including common bile duct stone incision, T-tube drainage, and treatment of intrahepatic bile duct stones. Surgical methods include bile duct stone removal, partial liver resection, hilar bile duct reshaping, etc. 2. Can bile duct stones be crushed and expelled?
Asymptomatic intrahepatic bile duct stones generally do not require treatment. Currently, most hepatobiliary surgery experts believe that if patients undergo shock wave removal, the stones will invade the extrahepatic bile ducts and form Patients with common bile duct stones will have obvious abdominal pain, jaundice and other symptoms, causing a lot of trouble. Therefore, extracorporeal shock wave therapy for intrahepatic bile duct stones is opposed. It is recommended to follow up regularly with B-ultrasound or CT and adopt more reasonable methods for treatment. 3. Is it necessary to perform liver resection for intrahepatic bile duct stones?
The treatment of intrahepatic bile duct stones mainly requires surgery to remove the stones, relieve obstruction, and correct deformities. Generally, there is no need to remove the liver. If the liver is combined Tumor, or intrahepatic bile duct stones combined with liver fibrosis changes, or even liver atrophy, if the following conditions occur, partial resection of the liver lobe can be considered. Asymptomatic patients with intrahepatic bile duct stones can be temporarily observed and followed up. 4. How long does it take for bile duct stones to have a T-tube?
After bile duct stone surgery, it is generally necessary to observe the amount and nature of bile drainage. If the drainage is two hundred to three hundred milliliters a day in the early stage, it is relatively clear, indicating that the drainage tube is unobstructed. If the bile drainage is Turbidity, it may be noted that there are no remaining stones or the inflammation is under control. Generally, T-tube angiography is performed around 10-14 days. If there are no stones and other lesions and the bile duct is unobstructed, the patient will have no abdominal pain, jaundice, or fever 24-48 hours after the T-tube is clamped. If symptoms occur, the T-tube can be removed.