Preliminary Experience with Indications for Liver Transplantation for Hepatolithiasis
- VernacularTitle:初步探讨肝内胆管结石行肝移植术的适应证
- Author:
Yong YANG
;
Zheyu CHEN
;
Lnan YAN
;
Yong ZENG
;
Tianfu WEN
;
Bo LI
;
Jichun ZHAO
;
Wentao WANG
;
Jiayin YANG
;
Mingqing XU
;
Yukui MA
;
Hong WU
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Hepatolithiasis;
Surgical treatment;
Indication;
Complication
- From:
Chinese Journal of Bases and Clinics in General Surgery
2008;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the indications for liver transplantation among patients with hepatolithiasis.Methods Data from 1 431 consecutive patients with hepatolithiasis who underwent surgical treatment from January 2000 to December 2006 were retrospectively collected for analysis.Surgical procedures included T-tube insertion combined with intraoperative cholangioscopic removal of intrahepatic stones,hepatectomy,cholangiojejunostomy,and liver transplantation.Results Nine hundred and sixty-one patients who had a stone located in the left or right intrahepatic duct underwent hepatectomy or T-tube insertion combined with intraoperative cholangioscopic removal of intrahepatic stones.The rate of residual stones was 7.5%(72/961).Four hundred and seventy patients who had a stone located in the bilateral intrahepatic ducts underwent surgical procedures other than liver transplantation;the rate of residual stones was 21.7%(102/470).Only 15 patients with hepatolithiasis underwent liver transplantation;they all survived.According to the degree of biliary cirrhosis,recipients were divided into 2 groups: a group with biliary decompensated cirrhosis(n=7),or group with biliary compensated cirrhosis or noncirrhosis group(n=8).There were significant differences in operative times,transfusion volumes and blood losses between 2 groups(P
