The causes and surgical treatment of hepatolithiasis reoperation:a report of 81 cases
- VernacularTitle:肝胆管结石再手术原因及处理:附81例报告
- Author:
Jinshu WU
;
Binzhang TIAN
;
Pingzhou YANG
;
Bo JIANG
;
Chuping LIU
- Publication Type:Journal Article
- Keywords:
CHOLEITHIASIS/surg;
BILE DUCT,INTRAHEPATIC/surg;
REOPERATION
- From:
Chinese Journal of General Surgery
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the causes and methods of surgical treatment of hepatolithiasis reoperation Methods The clinical data of 81 cases of hepatolith reoperation were analyzed retrospectively. Results The main causes of hepatolith reoperation include biliary stricture,biliary tract variation,cholangiocarcinoma, etc. The chief reoperation patterns were hepatic lobectomy, Roux-en-Y hepaticojejunostomy, and lobectomy combined with Roux-en-Y hepaticojejunostomy.A follow-up of 2 months to 12 months showed excellent (outcome) of 93.8% of cases. According to postoperative cholangiograph,the retained stone rate was 6.2%. Conclusions When treating cholelithiasis ,we should follow the following principles: remove stones, relieve biliary stricture, correct biliary variation, resect abnormal liver, and establish adeguate biliary drainage.
