Advances in minimally invasive percutaneous transhepatic surgery in treatment of hepatolithiasis / 中华肝胆外科杂志

ABSTRACT

Hepatolithiasis is a common biliary surgical disease. The traditional treatment using laparotomy is highly invasive and risky. In recent years, rapid developments in endoscopic surgical technology in biliary surgery using percutaneous hepatobiliary lithotomy, especially using the percutaneous transhepatic one-step biliary fistulation technique has gradually been widely adopted in clinical practice because of its minimal invasiveness. The complexity and extensive distribution of intrahepatic bile duct stones have resulted in a lot of controversies in preoperative planning, use of intraoperative ultrasound, management of biliary bleeding and biliary stenosis, and postoperative management. There is a lack of universally agreed standards. Based on the author's clinical experience, this article briefly reviewed and focused to discuss on the above-mentioned controversial points.