Chen Jiaqi, Zhang Liyong, Zhang Wenjuan, Zhao Zejin, Yu Aijun, Li Jian, Zhang Zhuqing, Chen Kai
Department of Hepatobiliary Surgery, The Affiliated Hospital of Chengde Medical University, Chengde, Hebei, China.
Department of Hepatobiliary Surgery, Hebei Key Laboratory of Panvascular Diseases, Affiliated Hospital of Chengde Medical University, Chengde, Hebei, China.
Front Med (Lausanne). 2025 Apr 15;12:1559568. doi: 10.3389/fmed.2025.1559568. eCollection 2025.
We present a case of a woman in the second trimester of pregnancy who was admitted due to symptomatic common bile duct stones and gallstones. The patient underwent ultrasonography (US) and magnetic resonance cholangiopancreatography (MRCP) imaging, as well as a series of relevant blood tests, to establish a diagnosis. After a comprehensive assessment, simultaneous T-tube-free laparoscopic transcholedochal stone extraction and cholecystectomy were performed safely in the pregnant patient with common bile duct stones and gallstones. Postoperatively, the patient had an uneventful recovery. This case report aims to provide detailed information on the selection of treatment options for symptomatic choledocholithiasis combined with gallstones during pregnancy and to explore the feasibility and safety of performing concurrent T-tube-free laparoscopic choledochotomy for stone extraction in pregnant patients.
我们报告一例妊娠中期女性患者，因症状性胆总管结石和胆囊结石入院。患者接受了超声检查（US）、磁共振胰胆管造影（MRCP）成像以及一系列相关血液检查以明确诊断。经过全面评估后，对该患有胆总管结石和胆囊结石的孕妇安全地实施了同期无T管腹腔镜胆总管取石术和胆囊切除术。术后，患者恢复顺利。本病例报告旨在提供关于妊娠期症状性胆总管结石合并胆囊结石治疗方案选择的详细信息，并探讨在孕妇中同期实施无T管腹腔镜胆总管切开取石术的可行性和安全性。
