Treatment of hepatolithiasis by combination of stricture repairment and partial hepatectomy preserving a subcutaneous blind bowel loop
- VernacularTitle:皮下通道型肝胆管狭窄成型术与肝切除治疗肝内胆管结石的疗效评价
- Author:
Zhi XU
;
Nengwei ZHANG
;
Lixin WANG
;
Tonglin ZHANG
;
Shaomei LU
;
Xiaosi ZHOU
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Cholangioenterostomy, hepatic
- From:
Chinese Journal of General Surgery
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To enhance therapeutic effects of hepatolithiasis by improving surgical procedures. Methods Forty eight patients suffering from hepatolithiasis with bile duct stricture were treated in this study, in whom 27% (13/48) of the stone was located in the left lobe, 19% (9/48) in the right, and 54% (26/48) in bilateral lobe. Stone coexisted with stricture in 71% (34/48). Hepatic duct and stricture were opened, making a basin at the porta, and repaired by one end of a segment of jejunum. The other end was set subcutaneously. At the same time, a portion of the liver habouring stone was resected. Results Forty four out of 48 patients were followed up (92%) with an average of 5 years. The rate of recurrent stone was 20% (9/44), the rate of cholangitis was 16% (7/44), and 84% of cases fared very well. Postoperatively, 7 cases underwent lithotomy by choledochoscope through the subcutaneous blind loop. Conclusion This procedure decreases the relapsing cholangitis effectively.
