Treatment of retained and regenerate hepaticolithiasis with hepatectomy: clinical analysis of 136 cases

VernacularTitle:肝切除治疗肝胆管残余或再生结石136例临床分析
Author: Zhigang TANG ; Qiang HUAN ; Jiong CHEN ; Hao ZHENG ; Chengsong SHAO ; Decai YU
Publication Type:Journal Article
Keywords: Hepatolithus; Hepatectomy; Retained calculus
From: International Journal of Surgery 2011;38(4):232-234
CountryChina
Language:Chinese
Abstract: Objective To discuss the method of the surgical treatment for retained and regenerate hepaticolithiasis, and to improve the theraputic level. Methods In recent 5 years,in our hospital,136 cases of retained and regenerate hepaticolithiasis were treated by combination of hepatolobectomy with other operation, and these cases were analyzed retrospectivly. Results One patient died after operation (0. 7%),8 patients had other complications including: biliary fistuta(6 cases, 4.4%), subphrenic abscess (2 cases,1.5%). All cases were visited for 2.5 - 8.3 years, 115 (84.6%) cases had not any symptom, 6 (4.4%)cases had infection of biliary tract, 6(4.4%) cases had retained calculus, 9(6.6%) cases recurred calculus 2 -5 years after operation. Conclusion Retained and regenerate hepaticolithiasis should be treated by combination of hepatolobectomy with other operation and fiber choledochoscope and B ultrasound of operation, which can increase therapeutic effect.