Surgical treatment choice of hepatolithiasis and its curative effect
10.11659/jjssx.1672-5042.201401029
- VernacularTitle:肝胆管结石外科治疗的术式选择与疗效观察
- Author:
Yi XIONG
- Publication Type:Journal Article
- Keywords:
hepatolithiasis;
surgical treatment;
fiber choledochoscope lithotomy
- From:
Journal of Regional Anatomy and Operative Surgery
2014;(1):72-73
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the surgical treatment choice of hepatolithiasis and its curative effect. Methods The clinical data of 120 patients with hepatolithiasis admitted in our hospital were randomly selected and retrospectively analyzed. 43 cases were undergone cho-ledocholithotomy, 37 cases were given merotomy of live, 31 cases were given hepatic duct plasty and choledochojejunostomy, and 9 cases were performed fiber choledochoscope lithotomy. Results All the 120 cases were followed-up from 1 year to 10 years. The postoperative re-sidual stone rate, good rate, and occurrence rate of complications were respectively:42. 23%, 78. 69%, 9. 23% in group of choledocho-lithotomy;8. 05%, 95. 93%, 18. 09% in group of merotomy of live;13. 33%, 87. 33%, 21. 32% in group of hepatic duct plasty and cho-ledochojejunostomy;31. 98%, 78. 04%, 15. 69% in group of fiber choledochoscope lithotomy. The total residual stone rate was 24. 17%, the total good rate was 85. 83%, and the occurrence rate of complications was 15. 83%. Conclusion Choose the suitable operation method according to medical history of patients is the the key to reduce the residual stone rate and the occurrence rate of complications, thus elevating therapeutic efficacy of hepatolithiasis.
