Fibrotic border guided anatomical hepatectomy in the treatment of hepatolithiasis complicated with atrophy-hypertrophy complex
10.3760/cma.j.cn113855-20200225-00123
- VernacularTitle:循纤维化边界行解剖性肝切除在肝胆管结石并肝萎缩肥大征治疗中的应用
- Author:
Zengpeng SUN
1
;
Zhiguo TAN
;
Chuang PENG
;
Weimin YI
;
Pingzhou YANG
;
Ou LI
Author Information
1. 湖南省人民医院（湖南师范大学附属第一医院）肝胆外科 湖南省胆道疾病防治临床医疗技术研究中心,长沙 410005
- Keywords:
Cholelithiasis;
Bile duct;
Hepatectomy;
Atrophy hypertrophy syndrome
- From:
Chinese Journal of General Surgery
2021;36(7):499-502
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate fibrotic border guided anatomical hepatectomy in the treatment of hepatolithiasis complicated with atrophy-hypertrophy complex.Methods:One hundred and sixty-seven cases undergoing hepatectomy guided by the boundary of liver fibrosis in the treatment of hepatolithiasis complicated with atrophy-hypertrophy complex from Jan 2011 to Dec 2019 in Hunan Province Peopole's Hospital were reviewed.Results:All patients were successfully treated by anatomical hepatectomy under the guidance of the liver fibrosis boundary with intraoperative choledochoscopy,the operation time was (231.5±37.1) min and the average blood loss was (375.7±52.6) ml,the average hospital stay was (10.2±1.1) days,the residual stone rate was 8.9%, according to the scoring system of Clavien-Dindo, Grade Ⅰ complications occured in 86 cases, Grade Ⅱ complications occured in 35.Follow-up ranged from 3 to 107 months, 15 cases had recurrent stones,four were reoperated.Conclusions:Fibrotic border guided anatomical hepatectomy in the treatment of hepatolithiasis complicated with atrophy-hypertrophy complex is safe and effective.
