Surgical experience in the treatment of refractory cholelithiasis
10.3760/cma.j.issn.1673-9752.2009.03.011
- VernacularTitle:难治性胆石病的外科手术经验
- Author:
Jinshu WU
;
Chuang PENG
;
Wei CHENG
;
Xintian WANG
;
Jinhui YANG
;
Ou LI
;
Ye OU
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Biliary cirrhosis;
Surgical procedures
- From:
Chinese Journal of Digestive Surgery
2009;8(3):187-189
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the operative techniques for refractory cholelithiasis. Methods The clinical data of 521 patients with refractory cholelithiasis who had been admitted to People's Hospital of Hunan Province from January 1990 to December 2007 were retrospectively analyzed. Results All patients received surgery. After the operation, 3 patients died of liver and kidney failure, the remaining 518 patients were cured without severe complications. The results of B ultrasound and computed tomography showed residual stones in 78 patients (15.1%). Four hundred and twenty-three patients (81.7%) were followed up for 5 months to 17 years (mean, 7.5 years), and the rate of positive effect was 90.1% (381/423). Conclusions Most of the refractory cholelithiasis can be cured radically. Individualized surgical planning, fine and standard surgical procedure are key to the treatment effect.
