Feasibility of small incision bile duct stone removal in primary hospitals in extremely high-altitude areas

VernacularTitle:特高海拔地区基层医院开展小切口胆道探查取石术的可行性分析
Author: Yi XIE ¹ ; Feifei YU ; Senlin CHEN ; Guangyong WANG ; Duoji JIAYANG ; Zhe LI
Author Information

1. 200433 上海,海军军医大学海军特色医学中心
Keywords: Extremely high altitude; Small incision bile duct stone removal; Primary hospitals; Feasibility feasibility
From: Journal of Navy Medicine 2025;46(9):887-892
CountryChina
Language:Chinese
Abstract: Objective To explore the feasibility and precautions of small incision bile duct stone removal in primary hospitals in extremely high-altitude areas.Methods The experience of small incision biliary exploration and cholecystectomy under general anesthesia at primary hospitals during the author's medical aid to Xizang in the high-altitude areas of northern Xizang was summarized(from June 2022 to December 2022).Results A total of 11 cases of small incision common bile duct stone removal were completed.Abdominal drainage was performed in all patients,including 6 cases with T-shaped tubes and 5 cases with primary closure of the common bile duct.The patients recovered well after surgery and was discharged.Conclusion In extreme high-altitude areas,under the guidance of medical aid doctors,it is completely feasible for primary hospitals to carry out small incision bile duct stone removal by selecting appropriate cases,training surgical skills,and performing detailed preoperative preparation.