Surgical treatment of hepatolithiasis in right lobe of liver: a report of 102 cases

HE Ling; LI Wen-mei

Abstract：Objective To explore the surgjical treatment of hepatolithiasis in fight lobe of liver.Methods Retrospective analysis the surgical treatment methods and efficacy of the 102 cases of hepatolithiasis in right lobe,of liver in affiliated hospital of Xuzhou medical college from January 2000 to December 2008.Results 30 cases in this group underwent hepatic segmentectomy:and the remaining 72 cases underwent resection of the liver lobi,and incided common bile duct,Ⅰ and Ⅱ grade bile duct and removed the stones,Of which 20 cases were placed directly T-tube or U-tube drainage,33 cases were formed the narrow bile ducts and placed T-tube or U-tube drainage,and 19 cases received choledoehojejunostomy.42 cases combined common bile duct stones which underwent incision of common bile duct and removed the stones.All cases of postoperative jaundice subsided gradually,and liver function improved.Postoperative bile leakage occurred in 6 cases(5.9%),residual calculi happened in 5 cases(4.9%),cholangitis happened in 3 cases(2.9%)received cholecystojejunostomy,8 cases(7.8%)recurrent hepatolithiasis. Conclusion Hepatic segmentectomy or resection of the liver lobi,incision of the secondary bile duct and removing the stones,forming the narrow bile duct,and placing T-tube or U-tube drainage or choledochojejunostomy for hepatolithiasis in right lobe of liver can obtain a good therapeutic effect.In addition,Forming bile duct stenosis,and placing T-tube or U-tube drainage can reduce the occurrence of postoperative complications,and more conducive to deal with complications.