A new clinical classification of hepatolithiasis based on biliary anatomy and pathology

VernacularTitle:一种新的基于胆道解剖及病理的肝胆管结石临床分型
Author: Shifeng FU ¹ ; Shihua HUANG ; Chunman LI ; Nan XIE ; Lei WEI ; Gang LI ; Ming HU ; Quanying LIU ; Bimang FU
Author Information

1. 昆明医科大学第二附属医院普通外科 650101
Keywords: Cholelithiasis; Hepatectomy
From: Chinese Journal of General Surgery 2019;34(5):384-388
CountryChina
Language:Chinese
Abstract: Objective To investigate a new clinical classification of hepatolithiasis based on biliary anatomy and pathology in order to guide clinical decision-making.Methods The cases of hepatolithiasis admitted to our hospital from Mar 2015 to Aug 2018 were classified into six types and an additional type according to biliary anatomy,stone site and extent,liver pathological changes,and Oddi sphincter function.Results Of the214 cases of hepatolithiasis,5 cases (2.3％) were type Ⅰ;41 cases (19.2％) were type Ⅱ;76 cases (35.5％) were type Ⅲ;17 cases (7.9％) were type Ⅳ;29 cases (13.5％) were type Ⅴ;46 cases (21.5％) of type Ⅵ.The most common complication was incision infection (28 cases,13.1％),liver failure 0,and perioperative death 0.During the follow-up from 3 months to 3 years,there were 14cases of stone recurrence,the recurrence rate was 7.6％.Conclusion This classification scheme and the "individualized precise anatomical combined hepatectomy or segmental hepatectomy" based on this classification is safe and effective while enhancing the cure rate.