What should I do about intrahepatic bile duct stones?
Disease description:
Last week during a medical checkup, intrahepatic bile duct stones were detected. I would like to know what to do about intrahepatic bile duct stones.
The main treatments for intrahepatic bile duct stones include:
1. Surgical treatment: Common procedures include choledocholithotomy (bile duct stone removal), hepatectomy (liver resection), and biliary-enteric anastomosis (bile duct-intestinal connection). Choledocholithotomy is suitable for patients whose affected liver segments show no obvious atrophy and whose bile ducts have no severe narrowing, allowing stones to be removed directly or with the assistance of a choledochoscope. Hepatectomy is appropriate for patients with stones that are difficult to completely remove from the affected liver lobe or bile duct, or for those with bile duct strictures that are difficult to correct; this procedure removes the affected liver segment and bile duct to resolve the issue completely. Biliary-enteric anastomosis connects the bile duct directly to the intestine to restore bile flow.
2. Traditional Chinese medicine (TCM) and pharmacological treatment: TCM treatments such as acupuncture and anti-inflammatory bile-promoting Chinese herbs can assist surgical treatment and accelerate recovery. Pharmacological treatment is tailored to individual patient conditions, including the use of anti-inflammatory and bile-promoting medications.