N Haidu reporter Lin Baozhen Recently, the minimally invasive surgical team of the Hepatobiliary and Pancreatic Surgery of Meng Chao Hepatobiliary Hospital of Fujian Medical University successfully used the "percutaneous transhepatic stage II biliary fistula (PTBF) stone removal

2025/04/2122:38:34 regimen 1865

N Haidu reporter Lin Baozhen

Recently, Heptache and gallbladder hospital Meng Chao Hepatobiliary Hospital of Fujian Medical University Heptache pancreatic minimally invasive surgical team successfully used the "percutaneous transhepatic stage II biliary fistula (PTBF) stone removal technique" and used minimally invasive technology to completely remove internal and external bile duct stones for an 88-year-old octogenarian. After the operation, the old man was energetic, with his legs and feet in a straightforward manner, and he was able to take care of himself, and returned to his former style. She happily said she wanted to "be a centenarian"!

According to reports, the old man was diagnosed with "intrahepatic bile duct stones with cholangitis" due to repeated stuffy pain in the upper right abdomen. After treatment with anti-infection and pain relief, it could not be completely improved. The examination showed that there were multiple stones in the bile ducts inside and outside the liver of the elderly, and there were also many underlying diseases such as "biliary multidrug-resistant bacteria infection, lung inflammation, cardiac insufficiency, arrhythmia , sequelae of cerebral infarction". The body was in poor condition, complex condition, and extremely difficult to operate. At the same time, the old man had undergone abdomen and stone removal surgery, leaving a psychological panic shadow and was more resistant to the surgery.

In response to this situation, the hospital's surgical team convened the ultrasound department, imaging department, infectious department, respiratory department, anesthesia department, etc. to conduct MDT discussions, communicated and communicated with the patients and their families many times, and decided to perform "percutaneous transhepatic stage II biliary fistula (PTTBF) lithography", and used minimally invasive and non-opening surgery to remove stones. The operation went smoothly and achieved the expected treatment effect.

PTTBF stone removal

Remove internal and external bile duct stones

According to reports, internal and external bile duct stones have the characteristics of high prevalence, high recurrence rate and high reoperative rate. When the disease occurs, the patient's abdominal pain, nausea, and vomiting are common diseases encountered in hepatobiliary surgery. Percutaneous transhepatobiliary fistula (PTBF) stone extraction surgery is a new and effective minimally invasive technology developed in the past decade. It can achieve good results for complex hepatobiliary duct stones , multiple biliary duct or recurrent hepatobiliary duct stones that cannot be resuscited after surgery in the upper abdomen, as well as patients with elderly or high-risk hepatobiliary duct stones.

This article is an original article of Haixia Metropolis Daily and may not be reproduced or excerpted without authorization.

Editor: Pan Zeyan

Intern: Liao Limei

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