Diagnosis and treatment strategy for hepatolithiasis combined with biliary infection
ZENG Yong-yi
LAI Zi-sen
Abstract：Hepatolithiasis combined with biliary infection is a common disease in hepatobiliary surgery,with an increasing incidence rate.Due to the high residual stone rate,recurrence rate,and reoperation rate of the disease,how to achieve early and effective treatment to improve the cure rate of hepatolithiasis is one of the challenges faced by hepatobiliary surgeons.Diagnosis should be made based on the patient's overall condition,laboratory tests,and imaging examinations,accurately assess the condition,and choose appropriate treatment options.Surgical intervention is the main treatment method for hepatolithiasis.When the infection in hepatolithiasis combined with biliary infection is completely controlled,definitive surgical treatment should be performed.Antimicrobial therapy and biliary drainage are early treatment methods for acute cholangitis.Biliary drainage methods mainly include endoscopic biliary drainage,percutaneous transhepatic biliary drainage,and surgical intervention.Definitive surgery should be performed after complete control of inflammation and improvement in the patient's overall condition.Hepatic segment/lobe resection is an effective treatment for intrahepatic bile duct stones,biliary strictures,and biliary malignancies.Biliary stricture repair and reconstruction are effective in managing strictures of the hepatic duct at the hepatic hilum or the distal common bile duct.Minimally invasive treatment techniques are safe,effective,and feasible in the treatment of complex intrahepatic bile duct stones,and can significantly improve the cure rate.They have specific advantages and clinical value.
Keywords：hepatolithiasisbiliary infectionhepatectomyminimally invasive techniques
Publication Date：2024-03-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 281-284 )