Choledochal stone itself is an indication for surgery, and once detected, choledochal stone is mostly treated with surgery. Choledochal stones can be categorized into elective, limited duration and emergency surgery according to their symptoms, stone location and stone size.
1. If the choledochal stone is asymptomatic and the bile duct is clear, elective surgery is usually chosen.
2. If the choledochal stone is large and may cause complications, surgery should be performed on a limited basis.
3. If the choledocholithiasis stone has obstruction, causes infection, and has the manifestation of shock, then it should be operated as an emergency, firstly to fight against shock, and at the same time to relieve the bile duct obstruction.
Choledocholithiasis can be selected according to its symptoms, stone size and location, whether it causes obstruction and obstruction situation. Asymptomatic choledocholithiasis and the upper and lower bile ducts are patent, usually the choledochotomy is performed in the upper duodenum to remove the stone and put it into the T-tube for drainage.
In recent years, transduodenal endoscopic lithotripsy is more often used for stones ≤3 and less than 1.5 cm in diameter. If the distal obstruction of the common bile duct cannot be relieved, bile duct-jejunum Roux-en-Y anastomosis plus cholecystectomy can be used.
If choledocholithiasis occurs, it is necessary to actively consult the doctor and follow the doctor’s instructions for reasonable treatment.