A new clinical classification of hepatolithiasis based on biliary anatomy and pathology / 中华普通外科杂志
Chinese Journal of General Surgery
;
(12): 384-388, 2019.
Artigo
em Chinês
| WPRIM
| ID: wpr-755829
ABSTRACT
Objective To investigate a new clinical classification of hepatolithiasis based on biliary anatomy and pathology in order to guide clinical decision-making.Methods The cases of hepatolithiasis admitted to our hospital from Mar 2015 to Aug 2018 were classified into six types and an additional type according to biliary anatomy,stone site and extent,liver pathological changes,and Oddi sphincter function.Results Of the214 cases of hepatolithiasis,5 cases (2.3%) were type Ⅰ;41 cases (19.2%) were type Ⅱ;76 cases (35.5%) were type Ⅲ;17 cases (7.9%) were type Ⅳ;29 cases (13.5%) were type Ⅴ;46 cases (21.5%) of type Ⅵ.The most common complication was incision infection (28 cases,13.1%),liver failure 0,and perioperative death 0.During the follow-up from 3 months to 3 years,there were 14cases of stone recurrence,the recurrence rate was 7.6%.Conclusion This classification scheme and the "individualized precise anatomical combined hepatectomy or segmental hepatectomy" based on this classification is safe and effective while enhancing the cure rate.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Tipo de estudo:
Estudo prognóstico
Idioma:
Chinês
Revista:
Chinese Journal of General Surgery
Ano de publicação:
2019
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS