Vinh Long: Successful laparoscopic surgery for a patient with a very rare gallbladder fistula

On October 23, Vinh Long General Hospital announced that doctors from the General Surgery Department had successfully performed laparoscopic surgery on a patient with gallbladder-duodenal fistula and common bile duct stones, a rare disease with a rate of about 1/1,000 cases of gallstones, complicated and with a high risk of complications.

The patient recovered well with the doctors of the General Surgery Department.

Patient NTM, 67 years old, residing in Vinh Long province, was admitted to the hospital with a persistent dull pain in the right hypochondrium, accompanied by jaundice, loss of appetite, nausea and weight loss. Previously, the patient had been diagnosed with gallstones but had not had surgery due to concerns about his old age.

Through clinical examination, blood tests and abdominal ultrasound-CT scan, doctors discovered that the patient had many large stones in the common bile duct, many stones in the gallbladder, and the images showed a fistula between the gallbladder and duodenum - a very rare complication of chronic gallstones.

If not treated promptly, the patient may face many dangerous complications such as biliary peritonitis, biliary tract infection, intestinal obstruction due to stones or gastrointestinal bleeding.

The doctor examined the patient after surgery.

After an interdisciplinary consultation between General Surgery - Anesthesia/Imaging, the surgical team led by doctors from the Department of General Surgery The decision was made to perform laparoscopic cholecystectomy, cholecystoduodenal fistula closure, and common bile duct stone removal.

During the surgery, the doctors found that the gallbladder wall was thick and firmly attached to the duodenal wall, with a fistula of about 1cm, and bile flowing into the duodenum. The team performed a meticulous dissection, cut the gallbladder, closed the fistula, and removed all the stones in the common bile duct through endoscopy.

Laparoscopic surgery images.

Thanks to careful preparation, precise manipulation and smooth coordination among members, the surgery went smoothly, with little bleeding and no complications during surgery.

The patient recovered well, ate and drank again soon after surgery, had good intrahepatic and extrahepatic bile drainage, and was discharged after one week of treatment in a stable condition.

BA DUNG

Source: https://nhandan.vn/vinh-long-phau-thuat-noi-soi-thanh-cong-benh-nhan-mac-ro-tui-mat-rat-hiem-gap-post917485.html