Laparoscopic hepatectomy in the treatment of recurrent hepatolithiasis / 中华普通外科杂志

ABSTRACT

Objective To explore the safety and effectiveness of laparoscopic hepatectomy in the treatment of recurrent hepatolithiasis.Methods The clinical data of recurrent hepatolithiasis patients treated by laparoscopic hepatectomy were studied.Results Among the 17 patients of recurrent hepatolithiasis patients,5 received hepatic segmentectomy (lobectomy),12 cases received hepatic segmenteetomy (lobectomy),exploration of the comnon bile duct and T-tube drainage,1 case received hepatic segmenteetomy (lobectomy) plus exploration of the common bile duct.The mean operation time and operative blood loss were (236 ± 86) min and (430 ± 101) ml,respectively.The time of gastrointestinal function recovery and postoperative hospital stay were (2.5 ± 0.9) d and (12.3 ± 3.9) d.Postoperative complications included postoperative sub-phrenic hydrops in 3 cases,liver margin infection in 2 cases,incision infection in 1 case,residual stone in 2 cases,bile leak in 2 cases,the pulmonary infection in 2 cases pleural effusion in 3 cases.All were cured by non-surgical treatment.Postoperatively 15 were followed up for 2-24 months.Conclusions It is safe and feasible for laparoscopic hepatectomy to treat recurrent hepatolithiasis.