Effects of hepatectomy in the treatment of hepatolithiasis

Objective To observe the effects of hepatectomy in the treatment of hepatolithiasis. Methods Of 135 patients with hepatolithiasis, 61(45.2%) were submitted to hepatectomy (study group), and 74 patients underwent other surgical procedures without hepatectomy (control group). The results of treatment were compared between the 2 groups. Results Statistically, the study group had higher complete relief rate (98.4%) and lower residual stone rate (9.8%) than the control group (85.1% and 29.7%, respectively) (P0.05 and P0.01, respectively), although the rate of postoperative complications was similar in the 2 groups (P0.05). The results of 2 and 5 years follow-up showed that, the percentage of patients with excellent and good outcome was significantly higher in the study group (94.2% and 89.1%) than that in the control group (73.3% and 68.6%) (P0.01and P0.05, respectively). Conclusions Application of hepatectomy in the treatment of hepatolithiasis offers better results than the control group.