[Total laparoscopy to treat hepatolithiasis using gallbladder-hepatic duct subcutaneous tunnel].
Beijing Da Xue Xue Bao Yi Xue Ban
; 48(5): 915-918, 2016 10 18.
Article
em Zh
| MEDLINE
| ID: mdl-27752181
ABSTRACT
To investigate the effect and feasibility of total laparoscopy to treat hepatolithiasis using gallbladder-hepatic duct subcutaneous tunnel. Retrospective analysis was conducted of the case data of 11 patients with hepatolithiasis who underwent total laparoscopic treatment using gallbladder-hepatic duct subcutaneous tunnel from January 2010 to October 2014. The operation time, blood loss, postoperative complications and recurrence of stones were recorded.All the cases completed the operation.The average hospital-stay was 9.2 days (range 3-29 d). The average operation time was 298 min (range 225-480 min). The average blood loss was 253 mL (range 50-700 mL), and the average blood loss of liver resection groups was 325 mL (range 200-700 mL). The average discharge time was 3.3 days (range 3-5 d). The rate of postoperative residual stones was 36.4% (4/11).We extracted stones with choledochofiberscope via T-tube sinus six weeks after operation. One case developed biliary leakage, and healed through adequate drainage and the T-tube was pulled out after one month. There was no perioperative mortality. All the cases were followed up and the mean follow-up was 22 months (range 2-51 months). The anastomotic stenosis of gallbladder-hepatic duct was found in one case. But we got a good therapeutic result with performed gallbladder chemical ablation with 95% ethanol. No recurrence of hepatolithiasis was found. As a choice for minimally invasive method to hepatolithiasis using gallbladder-hepatic duct subcutaneous tunnel,total laparoscopy is a safe and feasible procedure.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ductos Biliares Intra-Hepáticos
/
Procedimentos Cirúrgicos do Sistema Biliar
/
Colelitíase
/
Laparoscopia
/
Hepatectomia
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Zh
Ano de publicação:
2016
Tipo de documento:
Article