肝胆管结石病外科治疗方法疗效的临床研究

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Abstract Objective To investigate the surgical treatment of hepatolithiasis. Methods Retrospective analysis and summary were made of 658 cases of hepatolithiasis treated by our department of surgery from January 2019 to July 2022, and the characteristics of the cases and surgical methods were analyzed . Results Among the 658 cases, 306 cases (46.50%) underwent hepatic lobectomy, among which laparoscopic hepatic lobectomy accounted for 13.7%; biliary and intestinal drainage accounted for 52.58%; holmium laser accounted for 46.20%; percutaneous hepatic bile duct lithotripsy (percutaneous transhepatic choledochoscopic lithotripsy (PTCSL) accounted for 6.69%. There was 1 death in the whole group, and 196 patients (29.79%) were found to have residual stones in postoperative CT scans, of which 63 patients (9.57%) underwent choledochoscopy for stone removal.19cases (2.89%) of complicated biliary tract infection occurred after operation, of which 2 case (0.31%) died after multiple organ failure due to severe infection, and the remaining 17 cases ( (2.58%) were treated with repeated bile culture to adjust antibiotics and other symptomatic cases improved after supportive treatment. There were 52 cases (7.90%) of postoperative bile leakage, all of which were self-limited after nutritional support therapy or ultrasound-guided intraperitoneal drainage. There were 50 cases (7.60%) of postoperative hemorrhage, of which 4 cases (0.61%) underwent laparotomy for hemostasis, 3 cases (0.46%) underwent interventional embolization for hemostasis, and the rest stopped bleeding after conservative treatment. Conclusion The disease of hepatolithiasis is complicated and personalized, which requires multi-departmental collaboration and combination of a variety of advanced technologies to formulate “individual” treatment plan for specific cases.

Key words： hepatolithiasis treatment options microtrauma operation

Received: 08 November 2023

PACS:

R575.6+2

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	Articles by authors
	LI Xiaogui
	WUYi
	LU Jiayin
	LI Hao
	WANG Xintian

Cite this article:

LI Xiaogui,WUYi,LU Jiayin等. Clinical study on curative effect of surgical treatment for hepatolithiasis[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(1): 75-80.

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http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2024/V21/I1/75

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