Surgical treatment of complicated hepatolithiasis guided by 3D reconstruction
10.3760/cma.j.cn113855-20190914-0544
- VernacularTitle:三维重建引导手术治疗复杂肝胆管结石的临床研究
- Author:
Zengpeng SUN
1
;
Zhiguo TAN
;
Chuang PENG
;
Weimin YI
;
Ou LI
Author Information
1. 湖南省人民医院肝胆外科 湖南省人民医院胆道疾病研究室 湖南省胆道疾病防治临床医疗技术研究中心，长沙 410005
- From:
Chinese Journal of General Surgery
2020;35(7):513-515
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate short-term therapeutic effect of surgical treatment for complicated hepatolithiasis under the guidance of 3D reconstruction.Methods:We retrospectively analyzed the clinical data of 56 patients with complicated hepatolithiasis undergoing surgical treatment with the guidance of 3D reconstruction at the Department of Hepatobiliary Surgery of Hunan Province People′s Hospital from Jan 2011 to Jun 2019.Results:All the patients were successfully operated on under the guidance of three-dimensional reconstruction and extraction of residual stones by choledochoscope. The average duration of operation was 210.3 minutes and the average blood loss was 350.6 ml. According to the scoring system of Clavien-Dindo, Grade Ⅰ complications occurred in 36 cases, Grade Ⅱ complications in 5 cases and there were no complications of Grade Ⅲ or higher. As found by an average follow-up of 3.6 years (range from 5 months to 8 years) , only one patient had reflux cholangitis .Although the rate of residual stone was 68.8%, most stones remained only in the end branch of bile duct, hence do not interfere much with the patients′ living status.Conclusions:The surgical treatment with the guidance of 3D reconstruction is of satisfactory short-term curative effect in complicated hepatolithiasis.
