Application of Anatomical Liver Resection in Treatment of Bilateral Hepatolithiasis
- VernacularTitle:解剖性肝切除在治疗双侧肝内胆管结石中的临床应用价值
- Author:
Yishuang PAN
;
Yongyi OU
;
Xiangguo LI
;
Quanbo ZHOU
;
Jisheng CHEN
- Publication Type:Journal Article
- Keywords:
Anatomical liver resection;
Bilateral;
Intrahepatic bile duct stones
- From:
Journal of Kunming Medical University
2013;(12):90-95
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of anatomical liver resection in the treatment of bilateral intrahepatic biliary lithiasis. Methods We collected the clinical data of 32 patients with bilateral intrahepatic biliary lithiasis who received anatomical liver resection and 25 patients who recevied non-anatomical liver resection from May 2010 to May 2012 in our hospital and Sun Yat-sen Memorial Hospital. We comapred the therapeutic efficacy of these two operative modalities in the diagnosis and treatment of bilateral intrahepatic biliary lithiasis. Results The intraoperative blood loss was 436 ±48.162 mL in patients who received anatomical liver resection, and was significantly less than that in the control group (763 ± 37.645ml) ( < 0.05 ) . Postoperative liver function status:for patients who received anatomical liver resection,on the third day after operation,the total bilirubin and AST were significantly lower than those in the control group ( <0.05), and the postoperative hospitalization time was also shorter than that of the control group ( <0.05 ) . The two groups in the operation time, postoperative complications and residual calculus had no significant difference ( >0.05 ), but there 1 patients died of liver failure in the control group. Conclusions Anatomical liver resection is a favorable method to completely remove the lesions under the premise of retaining the residual liver function as much as possible. The rate of remnant biliary lithiasis and recurrence is lower and the recovery is quicker in these patients after anatomical liver resection. Thus, anatomical liver resection is worthy of promotion.
