The surgical treatment of hepatolithiasis:a report of 178 cases
- VernacularTitle:肝胆管结石的手术治疗:附178例报告
- Author:
Jian PI
;
Quan WEN
;
Yong ZHANG
;
Ping NING
- Publication Type:Journal Article
- Keywords:
Cholelithiasis/surg;
Bile Ducts,Intrahepatic;
Hepatectomy;
Bilioenterostomy
- From:
Chinese Journal of General Surgery
1993;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effective therapeutic methods for hepatolithiasis.Methods We retrospectively analyzed the clinical material of 178 hepatolithiasis patients who underwent surgical therapy.Among the 178 patients,107 patients were treated with T-tube drainage(including 7 patients with left hepatic lobe or quadlrate lobe resection),and 71 patients were treated with bile duct-intestinal anastomosis(including 11 patients with left hepatic lobe or quadrate lobe resection).Results Recurrence rate of postoperative angiocholitis in the two groups was 49.5 % and 24 % respectively,and the reoperation rate was 28.7 % and 8 % respectively.Conclusions The key to prevent recurrent angiocholitis and reduce the reoperation rate is to relieve biliary tract stricture,remove the focus of infection and provide unobstructed bile duct drainage.
