Surgical treatment of splitting right hepatic duct with hepatolithiasis and stenosis
- VernacularTitle:分裂型右肝管合并结石及狭窄的手术处理
- Author:
Guodong YANG
;
Yunzhi LONG
;
Shaoliang NIE
;
Jingjun CHEN
;
Jian SUN
- Publication Type:Journal Article
- Keywords:
BILE DUCT,INTRAHEPATIC/abnorm;
CHOLELITHIASIS;
BILE DUCT STENOSIS
- From:
Chinese Journal of General Surgery
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the surgical treatment of splitting right hepatic duct with hepatolithiasis and stenosis. Methods The clinical data of 38 patients with splitting right hepatic duct and hepatolithiasis treated by operation were analyzed retrospectively. Results All the patients underwent operation. operative procedures were as follows: (1) in situ cholangioplasty of splitting right hepatic duct in 7 cases;(2) fenestration of splitting right hepatic with adjacent hepatic duct in 9 cases; (3) bilioplasty of splitting right hepatic duct with adjacent bile duct in 8 cases; (4) hepatic lobectomy or segmentectomy of splitting right hepatic duct in 14 cases. Postoperative complications developed in 6 cases, which were cured conservatively. There was no perioperative mortality. All patients were followed up for 5～16 years(averaged 9.2 years). Excellent rate was 78.9%,and residual stones were found in 26.3% of the patients . Conclusions Accurate localization and appropriate operation may get satisfactory result in treating patients with splitting right hepatic duct with hepatolithiasis and stenosis.
