Liver resection in hepatolithiasis: 20-year's evolution.
- Author:
Zhi-qiang HUANG
1
;
Xiao-qiang HUANG
;
Wen-zhi ZHANG
;
Li-ning XU
;
Tao YANG
;
Ai-qun ZHANG
;
Jia-hong DONG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Bile Ducts, Intrahepatic; Cholelithiasis; surgery; Female; Hepatectomy; methods; Humans; Male; Middle Aged; Perioperative Care; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Surgery 2008;46(19):1450-1452
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze operative and perioperative factors associated with hepatectomy in hepatolithiasis.
METHODS245 consecutive hepatolithiasis patients undergoing hepatectomy from January 1986 to December 2005 at Chinese People's Liberation Army General Hospital were investigated retrospectively according to medical documentation.
RESULTSHepatolithiasis accounted for 29.6% (245/827) in all benign liver diseases treated with hepatectomy during this time period. There were 88 cases in male and 157 cases in female, the average age was (46.9 +/- 11.3) years. Cases of right liver resection and hepatic segments resection were much more than that in 1963 - 1985. Blood transfusion during operation was given in 45.3% of cases. Complication incidence was 16.3%, with infection 3.3% and bile leakage 2.4%. Length of stay after operation was (15.7 +/- 9.2) days. Perioperative mortality rate was 0.4% (1/245).
CONCLUSIONSIndividualized hepatectomy is the important surgical treatment of hepatolithiasis. Hepatectomy can be performed safely with low mortality and low complication incidence, provided that it is carried out with optimized perioperative management and innovative surgical technique.
