Total laparoscopic hepatectomy for treatment of hepatolithiasis

VernacularTitle:肝内胆管结石的完全腹腔镜下肝切除术
Author: Gaoxiong HAN ; Kaixiong TAO ; Kailin CAI ; Xiaoming SHUAI ; Jiliang WANG ; Zefeng XIA ; Guobin WANG
Publication Type:Journal Article
Keywords: Cholelithiasis; Hepatectomy; Laparoscope
From: Chinese Journal of Hepatobiliary Surgery 2010;16(9):652-654
CountryChina
Language:Chinese
Abstract: Objective To evaluate the clinical results of total laparoscopic hepatectomy for hepatolithiasis. Methods The clinical data of 72 patients with intrahepatic lithiasis receiving total laparoscopic hepatectomy in our hospital from July 2005 to April 2009 were retrospectively analyzed. Results The mean age of the 72 patients was (43. 8±21.7) yrs (16-65 yrs). For laparoscopic hepatectomy, it was anatomical left liver resection in 34 patients, anatomical resection of left lateral liver in 19 and resection of S6 in 16. The operative duration was (262.5± 115.5)min (125-320 min). The median intraoperative blood loss was 150 ml (50-400 ml). The occurring rate of postoperative complications was 12.50 %. Complications included bile duct infection in 8 patients, bile leakage in 6, gastroparesis in 1,postoperative early inflammatory ileus in 1 and subcapsular fluid collection of liver in 1. All the complications were cured by non-surgical means. Conclusion In the era of minimally invasive surgery, total laparoscopic hepatectomy has gradually become the prominent treatment for hepatolithiasis.