Hepatectomy for hepatolithiasis: an analysis of 98 eases
10.3760/cma.j.issn.1007-631X.2010.03.014
- VernacularTitle:肝切除术治疗肝内胆管结石98例临床分析
- Author:
Haitao ZHAO
;
Liguo LIU
;
Ruoyu MIAO
;
Xin LU
;
Yiyao XU
;
Shunda DU
;
Haifeng XU
;
Tianyi CHI
;
Huayu YANG
;
Zhiying YANG
;
Yilei MAO
;
Xinting SANG
;
Shouxian ZHONG
;
Jiefu HUANG
- Publication Type:Journal Article
- Keywords:
Cholehtiffasis;
Hcpatectomy
- From:
Chinese Journal of General Surgery
2010;25(3):217-220
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect and long-term prognosis of patients who underwent hepatectomy for hepatolithiasis. Methods We retrospectively analyzed the medical records of 98 patients with hepatolithiasis who were treated by hepatectomy in Peking Union Medical College Hospital.Results Male/femah:1/1.7;median age:55 years old.58 cases(59.2%)had been treated before;among them.50 by surgery.In 88 cages(89.8%)hepatolithiasis involved the left lobe only,in 2(2.0%) only the right lobe involved.and in 8(8.2%)both left and right lobe were involved.51(52.0%)had extrahepatic biliary stones,30(30.6%)had biliary duct strictures,28(28.6%)had a history of biliary ascariasis.and 5(5.1%)had a concurrent biliary tract malignancy.All received partial hepatectomy according to the stone location;for the 8 bilaterally involved patients,left hepatectomy and right lithotomy were performed.Postoperative complications occurredin 14 cases(14.3%),and there were2perioperative deaths(2.0%).Seventy-eight patients(79.6%)have beenfollowedupfor over1 yearwith no tumors;the results were excellent or good in 91.0%;the stone residue and recurrence rate were both 2.0%.Conclusions Hepatectomy not only eliminates calcuci,but also removes diseased biliary tracts,with advantages of low residue stone and recurrence rate.
