Laparoscopic left hemihepatectomy for left intrahepatic duct stones / 대한외과학회지
Journal of the Korean Surgical Society
;
: 149-154, 2012.
Article
in English
| WPRIM
| ID: wpr-207796
ABSTRACT
PURPOSE:
The feasibility of laparoscopic left hemihepatectomy for the management of intrahepatic duct (IHD) stones was evaluated.METHODS:
The clinical data of 26 consecutive patients who underwent total laparoscopic left hemihepatectomy for IHD stones at Gyeongsang National University Hospital between January 2009 and June 2011 were reviewed retrospectively.RESULTS:
The mean operation time was 312.1 +/- 63.4 minutes and the mean postoperative hospital stay was 11.8 +/- 5.0 days. There were 2 cases of postoperative bile leakage and 3 cases of intra-abdominal fluid collection, which were successfully managed conservatively. Remnant stones were detected in 2 patients. The initial success rate of stone clearance was 92.3% (24 of 26). The remnant stones were located in the common bile duct in both cases and were removed by endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy. Therefore, the final success rate of stone clearance was 100% (26 of 26). During a mean follow-up of 22 months (range, 7 to 36 months), there was no patient with recurrent stone.CONCLUSION:
Laparoscopic surgery could be an effective treatment modality for the management of IHD stones in select patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Bile
/
Follow-Up Studies
/
Cholangiopancreatography, Endoscopic Retrograde
/
Sphincterotomy, Endoscopic
/
Laparoscopy
/
Common Bile Duct
/
Hepatectomy
/
Length of Stay
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Journal of the Korean Surgical Society
Year:
2012
Type:
Article
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