How to treat intrahepatic bile duct stones

summary

Intrahepatic bile duct stone is a common disease in our life. If we don't get better treatment, it will attack again and again. Intrahepatic bile duct stone is a disease that people pay more attention to, and the treatment of intrahepatic bile duct stone is the concern of many patients. The harmfulness of intrahepatic bile duct stone is self-evident. For this disease, we should actively treat it in order to improve the quality of life To avoid causing more damage to patients, how to treat intrahepatic bile duct stones? For this question, I will share with you.

How to treat intrahepatic bile duct stones

First, bile duct lithotomy. This is the most basic method. We should try to cut the narrow part of the common bile duct up to the level 2 bile duct, and remove the stones under direct vision or by choledochoscope until the stone is removed. Intraoperative cholangiography, B-ultrasound or choledochofiberscope can be used.

Second, segmental hepatectomy. Repeated infection of intrahepatic bile duct stones can cause local liver atrophy, fibrosis and loss of function. Resection of the diseased part of the liver, including stones and infected lesions, narrow bile duct that can not be cut, can remove the origin of the stones, and prevent the canceration of the diseased liver segment and lobe, which is an active method for the treatment of intrahepatic bile duct stones.

Third: simple extrahepatic bile duct stones can be removed by duodenal endoscopy. It can obtain good therapeutic effect, but the indications of treatment need to be strictly controlled. The advantages and disadvantages of hepaticopancreatic ampullary sphincterotomy in the process of stone removal are still controversial.

matters needing attention

Residual stones are common after operation. Therefore, the follow-up treatment plays an important role in reducing the residual stones.