Multiple segmentectomy under selective occlusion of hepatic inflow for complicated intrahepatlc cholangiolithiasis
10.3760/cma.j.issn.1007-631X.2011.08.007
- VernacularTitle:半肝入肝血流阻断下行多处肝段切除治疗复杂肝内胆管结石
- Author:
Yuhua ZHANG
;
Zhiming HU
;
Chengwu ZHANG
;
Weiding WU
;
Jie LIU
;
Minjie SHANG
;
Wangxun JIN
;
Dajian ZHAO
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Hepatectomy;
Blockade,hepatic inflow
- From:
Chinese Journal of General Surgery
2011;26(8):641-643
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the result of multiple segmentectomy under selective occlusion of hepatic inflow for complicated intrahepatic cholangiolithiasis. Methods In this study 12 cases of complicated intrahepatic cholangiolithiasis receiving multiple segmentectomy under selective occlusion of hepatic inflow during 2004. 1 - 2010. 10 were reviewed retrospectively. The short-term and long-term outcomes of the patients were analyzed. Results There was no surgical mortality in this group. The segmentectomy performed were Ⅱ + Ⅲ + Ⅴ in 1 case; Ⅱ + Ⅲ + Ⅵ in 2 cases; Ⅱ + Ⅲ + Ⅴ + Ⅵ in 1 case;Ⅱ +Ⅲ+Ⅵ +Ⅶ in4 cases; Ⅱ +Ⅲ +Ⅳ +Ⅵ in 3 cases and Ⅱ + Ⅲ +Ⅳ +Ⅵ +Ⅶ in 1 case. The average intraoperative blood loss was 560 ± 291 ml. Postoperative complications were wound infection in 2 cases, bile leakage in 1 case, abdominal infection in 1 case. There were no liver failure, intrabdominal hemorrhage or hemobilia; stone clearance rate at 10 days after operation was 83% (10/12) and 92%(11/12) at 6 weeks after operation following postoperative choledochoscopic lithotripsy. 92% (11/12) cases were followed-up with the median follow-up period of 31 months. The result was excellent or good in 92% (11/12) cases. Conclusions Multiple segmentectomy was the choice for complicated intrahepatic cholangiolithasis, and the procedure could be safely performed under selective occlusion of the hepatic inflow.
