Clinical analysis of choledchojejunostomy combined with T tube external drainage in the treatment of hepatolithiasis
10.19538/j.cjps.issn1005-2208.2019.06.19
- Author:
Lei LIU
1
;
Fu-bao LIU
1
;
Yi-jun ZHAO
1
Author Information
1. Department of General Surgery, Department of Hepatopancreatobiliary Surgery, the First Affiliated Hospital of Anhui Medical University High- Tech Branch Hefei 230001,China
- Publication Type:Journal Article
- Keywords:
hepatolithiasis;
choledchojejunostomy;
bile leakage
- From:
Chinese Journal of Practical Surgery
2019;39(06):606-609
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE: To investigate the curative effect of choledchojejunostomy combined with T-tube drainage on patients with hepatolithiasis.METHODS: The clinical data of 95 patients with hepatolithiasis electivly undergoing choledchojejunostomy from January 2014 to July 2018 in the First Affiliated Hospital,Anhui Medical University were retrospectively analyzed.According to the operation methods,the patients were divided into two groups:choledchojejunostomy group and choledchojejunostomy group with T-tube drainage group.The short-term and longterm clinical efficacy of T tube external drainage were analyzed.RESULTS: Among 95 cases of hepatolithiasis,71 cases were treated with choledchojejunostomy and 24 cases were treated with choledchojejunostomy combined with T tube drainage.There was no significant difference in incision infection,hemorrhage and hepatic insufficiency between the two groups(P>0.05).The incidence of bile leakage in the choledchojejunostomy group was significantly higher than that in the choledchojejunostomy with T tube drainage group(P<0.05),but the immediate stone clearance rate in the choledchojejunostomy group was significantly higher than that in thecholedchojejunostomy with T tube drainage group(P<0.05).There was no significant difference in the final stone removal rate between the two groups(P>0.05).CONCLUSION: Choledochojejunostomy plus T-tube drainage can effectively reduce the incidence of bile leakage in patients with hepatolithiasis who can not remove all the stones during operation,and improve the stone clearance rate.
