Can intrahepatic bile duct stones be treated surgically?

Can intrahepatic bile duct stones be treated surgically?

Intrahepatic bile duct stones refer to stones located above the bifurcation of the left and right hepatic ducts. They are brown or black in color, and bilirubin stones are the most common. According to the distribution range of the stones, the disease can be divided into three types: regional, diffuse, and additional. Many patients experience symptoms such as upper abdominal pain, jaundice, liver discomfort, loss of appetite, and high fever.

Can intrahepatic bile duct stones be treated surgically?

Generally speaking, hepatobiliary stones are mainly treated surgically. If secondary infection or acute inflammation occurs, anti-infection treatment is required first. Patients also need to receive symptomatic treatment, including antipyretic treatment, analgesic treatment, gallbladder treatment, etc. However, symptomatic treatment cannot remove stones, and patients still need surgery.

How to surgically treat intrahepatic bile duct stones?

1. Minimally invasive liver stone removal. This surgery is based on endoscopic treatment. It requires the endoscope to be inserted into the bile duct, reach the hepatobiliary duct, dilate the bile duct with a balloon, and then remove it in time. This surgery is painless and non-invasive, will not damage normal liver tissue, and is the preferred treatment method.

2. Biliary duct lithotomy. If the bile duct is not severely narrowed and the liver segment is not obviously atrophied, bile duct lithotomy can be performed. The bile duct is opened by laparotomy or laparoscopy to directly remove the stones. This surgery has a certain recurrence rate, and some patients will relapse after surgery and need another surgery.

The above are the surgical methods for intrahepatic bile duct stones, which are mainly treated by surgery. The surgical methods mainly include minimally invasive liver stone removal, bile duct incision and stone removal. No matter which surgical method is chosen, the stones must be thoroughly cleaned to avoid recurrence. In daily life, we must pay attention to food hygiene, avoid ingesting foods containing ascaris eggs, maintain a balanced diet, and avoid malnutrition. It is best to control weight, keep weight within a reasonable range, and avoid obesity. Patients should also have regular physical examinations to test liver and gallbladder function.