Anatomical hepatectomy combined with intraoperative choledochoscopy in treatment of complicated hepatolithiasis
10.3760/cma.j.issn.1007-8118.2019.09.011
- VernacularTitle: 解剖性肝切除联合术中胆道镜治疗复杂肝内胆管结石的疗效分析
- Author:
Shaowu HE
1
;
Bo WU
;
Jie XU
;
Junsheng KANG
;
Feng QIAO
;
Jie LIU
;
Kaiwen LIU
Author Information
1. Department of General Surgery, No.960 Hospital of PLA, Taian 271000, Shandong Province, China
- Publication Type:Journal Article
- Keywords:
Hepatolithiasis;
Anatomical hepatectomy;
Choledochoscope
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(9):681-684
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the clinical outcomes of anatomical hepatectomy combined with intraoperative choledochoscopy in treatment of complicated hepatolithiasis.
Methods:The clinical data of 176 patients with complicated hepatolithiasis who underwent operation at the Department of General Surgery of No.960 Hospital of PLA from May 2005 to July 2015 were analyzed retrospectively. The data included general data, clinical manifestations, types of stones, operative methods, postoperative complications and follow-up.
Results:There was no perioperative death. The postoperative complications which occurred in 31 patients (17.6%) included lung infection, intra-abdominal infection, bile leakage, and liver failure. Eighteen patients (10.2%) were found to have residual stones. After a follow-up which ranged from 1 to 3 years, 152 patients (94.4%) had good clinical outcomes. Recurrent stones were found in 12 patients (7.5%).
Conclusion:Anatomical hepatectomy combined with intraoperative choledochoscopy improved operative outcomes in patients with complicated hepatolithiasis and decreased residual stone and recurrence rates.
