The impact of the ratio of common bile duct diameter to the diameter of intrahepatic gradeⅠandⅡ bile ducts on the recurrence of common bile duct stones.

doi:10.3877/cma.j.issn.1674-3946.2025.05.021

Abstract

Abstract:

Objective

To investigate the impact of the ratio of common bile duct (CBD) diameter to the diameter of intrahepatic grade I and II bile ducts on the recurrence of CBD stones.

Methods

A retrospective analysis was performed on 51 patients with recurrent CBD stones after surgical treatment from January 2017 to December 2023 (recurrence group), and 100 patients without stone recurrence during the same period were randomly selected as the control group. Data were processed using SPSS 25.0 statistical software. Normally distributed data were expressed as (±s), and independent sample t tests were used for intergroup comparisons; χ² tests were applied to count data. P<0.05 was considered statistically significant.

Results

The ratios of CBD diameter to grade I bile duct diameter (3.5±0.8) and to grade II bile duct diameter (5.5±1.0) in the recurrence group were significantly higher than those in the non-recurrence control group [(1.5±0.2) and (2.2±0.4), respectively] (P<0.05).

Conclusion

A significant increase in the ratios of CBD diameter to intrahepatic grade I and II bile duct diameters (ratios of 3.5 and 5.5, respectively) is one of the key factors affecting stone recurrence.

Key words: Choledocholithiasis, Common Bile Duct Diameter, Ratio, Recurrence

Mureti Aimaiti Dili, Peng Yu, Zhixiang Ding, Shaobin Duan. The impact of the ratio of common bile duct diameter to the diameter of intrahepatic gradeⅠandⅡ bile ducts on the recurrence of common bile duct stones.[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(05): 559-561.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhpwkssxzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3946.2025.05.021

https://zhpwkssxzz.cma-cmc.com.cn/EN/Y2025/V19/I05/559

Figures/Tables 1

References 10

[1]	李振毅，陶立. 胆总管结石取石术后结石复发的危险因素Logistic回归分析[J]. 中国现代医学杂志, 2016, 26(11): 122-126.
[2]	Baek YH, Kir HJ, Park JH, et al. Risk factors for recurrent bile duct stones after endoscopic clearance of commen bile duct stones [J]. Korean J Gastroenterol, 2009, 54(1): 36-41.
[3]	Ohashi A, Tamada K, Wada S, et al. Risk factors for recurrent bile duct stones after endoscopic papillary balloon dilation: long-term follow-up study [J]. Dig Endosc, 2009, 21(2): 73-77.
[4]	张军，李立强，姜友，等. 腹腔镜胆囊切除联合胆总管切开取石在胆囊结石合并正常直径胆总管结石患者中的应用[J]. 中华普通外科杂志, 2023, 38(03): 189-192.
[5]	金峰，毛志海. 影响胆囊结石合并胆总管结石手术治疗效果的因素分析[J]. 中国普通外科杂志, 2013, 22(03): 667-670.
[6]	张凤娇，刘曲，刘才德. 胆囊切除术后胆总管结石应用ERCP术的临床效果及对免疫功能与肝胆指标的影响[J/CD]. 中华普外科手术学杂志(电子版), 2021, 15(03): 339-342.
[7]	Sand J, Pakkala S, Nordback J. Twenty to thirty year follow-up after cholcystectomy[J]. Hepatogastroenterology, 1996, 43(9): 534-537.
[8]	Kim DI, Kim MH, Lee SK, et al. Risk factors for recurrence of primary bile duct stones after endoscopic biliary sphincterotomy[J]. Gastrointest Endosc, 2001, 54(1): 42-48.
[9]	王保春，吕云福，韩晓玉，等. 1098例胆管扩张症的病因构成及分类[J]. 中华肝胆外科杂志, 2011, 17(09): 752-754.
[10]	向华，郭宇廷，徐毅驰，等. 比较腹腔镜胆囊切除联合胆总管探查一期缝合鼻胆管引流与T管引流的临床疗效[J/CD]. 中华普外科手术学杂志(电子版), 2023, 17(01): 73-75.

组别	例数	性别（例）	年龄（岁，±s）	糖尿病(例)	高脂血症(例)	脂肪肝(例)
组别	例数	男/女	年龄（岁，±s）	糖尿病(例)	高脂血症(例)	脂肪肝(例)
复发组	51	21/30	54.0±6.0	3	5	2
对照组	100	38/62	55.0±4.0	8	16	12
χ²/t值		0.067	0.202	0.224	1.083	2.620
P值		0.861	0.700	0.751	0.334	0.141

组别	例数	性别（例）	年龄（岁，±s）	糖尿病(例)	高脂血症(例)	脂肪肝(例)
组别	例数	男/女	年龄（岁，±s）	糖尿病(例)	高脂血症(例)	脂肪肝(例)
复发组	51	21/30	54.0±6.0	3	5	2
对照组	100	38/62	55.0±4.0	8	16	12
χ²/t值		0.067	0.202	0.224	1.083	2.620
P值		0.861	0.700	0.751	0.334	0.141

[1]	Weihua Chen, Jun Zeng, Yuguang You, Li Chen, Chunquan Zhang, Ling Ren, Yilong Ge, Jun Ye, Yafei Luo. Close collaboration between provincial and municipal ultrasonic quality control centers comprehensively improves ultrasonic medical care quality in Jiangxi Province through multi-faceted approaches [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2025, 22(05): 397-401.
[2]	Hao Ming, Hongping Song, Yuyu Bai, Xiaozhi Dang, Yang Zhao, Yanni Cheng, Qi Wang, Yingcong Xiao. Prediction of postoperative recurrence risk of luminal B breast cancer using automated breast ultrasound combined with clinicopathological features： a clinical study [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2025, 22(04): 337-347.
[3]	Dexi Yuan, Haixia Xu, Xiuli Hua, Qing Shen. A study on the effect of conformal anal-preserving surgery on postoperative anal function in patients with low rectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(05): 527-530.
[4]	Chengyou Liang, Yi Liu, DeJiong Yao, Ming Zhu, Jie Liao. Application of triangle approach in combined pelvic organ resection for locally advanced rectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(04): 392-395.
[5]	Ke Wang, Yumin Yue, Zhenzhen Wu, Zeyu Xu, Xiaohui Hui, Yun Zhao, Weijia Dou, Qingchuan Zhao. The influence of laparoscopic natural orifice transluminal endoscopic surgery on the intestinal function and long-term efficacy of patients with colorectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(04): 413-416.
[6]	Bingtao Lin, Juntian Chen. Clinical characteristics of patients with advanced gastric cancer of different pathological types and influencing factors of short-term prognosis after laparoscopic-assisted radical resection [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(04): 429-433.
[7]	Qiang Yuan, Wenrui Xiang, Yuan Lv, Zhangzhe Yan, Hanfang Zhu, Guang Chen, Liang Sun, Gang Chen, Suo Zhao. Study on prediction model of recurrence-free survival for gastrointestinal stromal tumors based on random survival forest [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(04): 438-441.
[8]	Chenhao Zhao, Xudong Zhang, Junmo Yang, He Zhou. Research progress on the predictive efficacy of serum tumor markers for postoperative recurrence in patients with colorectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(04): 467-470.
[9]	Teng Zhang, Wei Han, Zhangdong Feng. Clinical study on different minimally invasive surgical approaches for intrahepatic cholangiolithiasis [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(04): 384-387.
[10]	Changwen Huang. Considerations of primary suture of common bile duct exploration and stone extraction and application of intraductal stenting tube [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(04): 543-548.
[11]	Miao Wang, Jiajia He, Yingwei Pan, Xiaolan Wang, Hui Yao, Mingbao Liu, Xi Lu, Lijie Su. Analysis of survival and prognostic factors of distal cholangiocarcinoma after resection [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(04): 582-588.
[12]	Haibei Xin, Zhizhou Li, Bin Bai, Haidong Zhang, Xian Su, Cunzhen Zhang, Chengjun Sui, Guanghui Ding, Minfeng Zhang. Clinical application of laparoscopic common bile duct exploration combined with antegrade indwelling of nasobiliary catheter and primary suture [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(04): 589-594.
[13]	Yong Guo, Siying Jia, Shijie Gao, Kangsheng Tu. Expression of RNFT2 in hepatocellular carcinoma patients and effect on cell proliferation, invasion and prognosis [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(04): 619-627.
[14]	Bo Liu, Yurong Ma, Xiao Fan, Ting Liu. Application of pressure vaccination training intervention in patients with irrational fear of movement after total knee arthroplasty [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(04): 201-206.
[15]	Yu Zhong, Ziying Nie, Yueting Jiang, Jun Lv, Ting Fu. Exploring quality control in primary care general practice [J]. Chinese Journal of Clinicians(Electronic Edition), 2025, 19(04): 292-301.

Please choose a citation manager

Content to export