Laparoscopic hepatectomy in the treatment of recurrent hepatolithiasis
10.3760/cma.j.issn.1007-631X.2018.04.010
- VernacularTitle:腹腔镜肝切除术治疗复发性肝胆管结石
- Author:
Weinan LI
1
;
Qiang LI
;
Jian XU
;
Gang YANG
;
Yong LI
;
Jian LIU
;
Jingdong LI
Author Information
1. 川北医学院附属医院肝胆外科川北医学院肝胆胰肠疾病研究所
- Keywords:
Gallstones;
Hepatectomy;
Bile ducts,intrahepatic;
Laparoscopes
- From:
Chinese Journal of General Surgery
2018;33(4):309-313
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and effectiveness of laparoscopic hepatectomy in the treatment of recurrent hepatolithiasis.Methods The clinical data of recurrent hepatolithiasis patients treated by laparoscopic hepatectomy were studied.Results Among the 17 patients of recurrent hepatolithiasis patients,5 received hepatic segmentectomy (lobectomy),12 cases received hepatic segmenteetomy (lobectomy),exploration of the comnon bile duct and T-tube drainage,1 case received hepatic segmenteetomy (lobectomy) plus exploration of the common bile duct.The mean operation time and operative blood loss were (236 ± 86) min and (430 ± 101) ml,respectively.The time of gastrointestinal function recovery and postoperative hospital stay were (2.5 ± 0.9) d and (12.3 ± 3.9) d.Postoperative complications included postoperative sub-phrenic hydrops in 3 cases,liver margin infection in 2 cases,incision infection in 1 case,residual stone in 2 cases,bile leak in 2 cases,the pulmonary infection in 2 cases pleural effusion in 3 cases.All were cured by non-surgical treatment.Postoperatively 15 were followed up for 2-24 months.Conclusions It is safe and feasible for laparoscopic hepatectomy to treat recurrent hepatolithiasis.
