Clinical Application of Hepatectomy for Hepatolithiasis

Objective To explore the effect and value of hepatectomy in curing complicated hepatolithiasis.Methods The clinical data of 82 patients with hepatolithiasis who underwent hepatectomy from 2005~2008 were retrospectively analyzed.Stones distribution,operative modality and outcomes were examined.Results The postoperative complications occurred in 12 cases,including biliary fistula in 3 patients,peritoneal abscess in 2 patients,peritoneal hemorrhage in 1 patients,infection of incisional wound in 5 patient.Residual stones were found in 8 patients(9.8%) according to the T-tube Cholangiography.60 cases(73.8%,60/82) were followed-up.Residual stones were found in 8 patients(13.3%),the rate of good long-term effect was 71.7%(4360).The rate of AOSC was 10.0%(6/60),the rate of operation through choledochoscope was 6.7%(4/60),the mortality was 0%(0/60).Conclusion Hepatectomy plays an important role in the curing of implicated hepatolithiasis.