Progress on risk factors for postoperative recurrence of common bile duct stones

doi:10.3877/cma.j.issn.1674-0793.2022.06.013

Abstract

Abstract:

The incidence of cholelithiasis is 5%-15%, of which 5%-30% is combined with common bile duct stones (CBDS). With the development of medical technology and the need for enhanced recovery after surgery, laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography are gradually replacing open choledochotomy with less trauma and faster recovery, and becoming the main means for CBDS. The stone clearance rate of CBDS minimally invasive treatment can be as high as 95%, while the recurrence rate has not been decreased (4%-25%). Therefore, identifying the risk factors for recurrence after CBDS operation and reducing the recurrence rate is the focus of current research in biliary and pancreatic surgery. This article reviewes the risk factors of CBDS recurrence from seven aspects, including age, gender, genetics, lifestyle and drug intervention, biliary microenvironment disturbance, biliary anatomy factors, surgical treatment methods, and the number of stone recurrences, in order to provide better understanding of the recurrence of CBDS.

Key words: Common bile duct stones, Recurrence, Risk factors, Laparoscopic common bile duct exploration, Cholangiopancreatography, endoscopic retrograde

Ming Cai, Yahong Yu. Progress on risk factors for postoperative recurrence of common bile duct stones[J]. Chinese Archives of General Surgery(Electronic Edition), 2022, 16(06): 438-442.

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