Surgical experience of refractory cholelithiasis:a report of 521 cases
10.3760/cma.j.issn.1673-4203.2011.02.005
- VernacularTitle:难治性胆石病的外科手术经验-附521例报告
- Author:
Jinshu WU
;
Chuang PENG
;
Wei CHENG
;
Jianhui YANG
;
Binzhang TIAN
;
Guoguang LI
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Liver cirrhosis,biliary;
General surgery
- From:
International Journal of Surgery
2011;38(2):83-85
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience in operation manner and surgical technique of refractory cholelithiasis.Methods A total of five hundred and twenty one patients with refractory cholelithiasis admitted to Hunan Provincial People's Hospital from Jan.1990 to Dec.2007 were involved in this study for retrospective analysis.Results All patients in this group accepted surgery.Apart from three cases of perioperative death with liver and kidney failure,the remaining five hundred and eighteen cases had no serious complications,were cured and discharged.The imaging examination showed residual stone in seventy cases,accounting for fifteen percent.Four hundred and twenty one patients were followed up.The mean time of follow-up was seven years and six months (range 5 months - 17 years).Good result rate was 90.1%(381/423).Conclusions Most intractable cholelithiasis can be cured radically.Individual surgery programme,fine and standard surgical procedure are the key to treatment effect.
