The application of laparoscopic middle hepatic vein-guided anatomical hepatectomy combined with transhepatic duct lithotomy to the treatment of complex hepatolithiasis
HUANG Long
CHEN Shi
Abstract：Hepatolithiasis is a common biliary disease in China,characterized by complex pathology.The intertwined and dilated bile ducts spread throughout the liver,making it difficult to resect completely,resulting in a high rate of postoperative stone residuals and recurrence.Through long-term practice,our team has found that the middle hepatic vein serves as a natural boundary for the left or right diseased bile ducts,and the diseased bile ducts can be thoroughly excised with the middle hepatic vein as the anatomical mark.Therefore,this paper systematically summarizes the clinical application of laparoscopic middle hepatic vein-guided anatomical hemihepatectomy combined with transhepatic duct lithotomy,which can effectively relieve stenosis,reduce the residual rate and recurrence rate of stones,and achieve the objectives of"eliminating the lesion,removing all stones,correcting strictures,ensuring smooth drainage,and preventing recurrence."
Keywords：laparoscopic hepatectomyhepatolithiasismiddle hepatic veintranshepatic duct lithotomy
Publication Date：2024-08-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 941-946 )