Hepatectomy for the treatment of hepatolithiasis

Objective To investigate the therapeutic effect of hepatectomy for hepatolithiasis.Methods From January 1991 to June 2004,255 cases with hepatolithiasis received hepatectomy were analyzed restrospectively.Results 255 patients underwent opoeration.Among them,175(168.63%)underwent left lateral lobectomy,38(14.09%)left hemihepatectomy,35(13.73%)right lobectomy or segmentectomy and 22(8.63%) multilobectomy. In addition, 73 of them (28.63%)also received choledocho,jejunostomy. Postoperative complications were occured in 22 patients (8.63%)and no one died after operation. 221(86.67%)patients were followed up from 1 to 13 years (average 7.5 years). The excellent and good rate were 89.5%.Conclusion Hepatectomy is an effective and safe therapeutic method for hepatolithiasis and it's use of early stage can get a good results. Intraopertive. Ultrasound and fibro choledochcope are very important to manage the hepatolithia.