Total laparoscopy to treat hepatolithiasis using gallbladder-hepatic duct subcutaneous tunnel
10.3969/j.issn.1671-167X.2016.05.031
- VernacularTitle:全腹腔镜胆囊肝管型皮下通道治疗肝内胆管结石11例
- Author:
Tao LI
;
Long CUI
;
Gang WANG
;
Xiaofeng LING
;
Chunsheng HOU
;
Lixin WANG
;
Zhi XU
- Publication Type:Journal Article
- Keywords:
Bileducts,intrahepatic;
Calculi;
Biliary tract surgical procedures;
Laparoscopy
- From:
Journal of Peking University(Health Sciences)
2016;48(5):915-918
- CountryChina
- Language:Chinese
-
Abstract:
SUMMARY To investigate the effect and feasibility of total laparoscopy to treat hepatolithiasis using gall-bladder-hepatic duct subcutaneous tunnel.Retrospective analysis was conducted of the case data of 11 pa-tients with hepatolithiasis who underwent total laparoscopic treatment using gallbladder-hepatic duct sub-cutaneous tunnel from January 2010 to October 2014.The operation time,blood loss,postoperative com-plications and recurrence of stones were recorded.All the cases completed the operation.The average hos-pital-stay was 9.2 days (range:3 -29 d).The average operation time was 298 min (range:225 -480 min).The average blood loss was 253 mL (range:50 -700 mL),and the average blood loss of liver re-section groups was 325 mL (range:200 -700 mL).The average discharge time was 3.3 days (range:3 -5 d).The rate of postoperative residual stones was 36.4% (4 /11).We extracted stones with chole-dochofiberscope via T-tube sinus six weeks after operation.One case developed biliary leakage,and healed through adequate drainage and the T-tube was pulled out after one month.There was no periopera-tive mortality.All the cases were followed up and the mean follow-up was 22 months (range:2 -51 months).The anastomotic stenosis of gallbladder-hepatic duct was found in one case.But we got a good therapeutic result with performed gallbladder chemical ablation with 95% ethanol.No recurrence of hepa-tolithiasis was found.As a choice for minimally invasive method to hepatolithiasis using gallbladder-he-patic duct subcutaneous tunnel,total laparoscopy is a safe and feasible procedure.
