Clinical analysis of hepatolithiasis combined with intrahepatic cholangiocarcinoma

Objective To investigate the relationship between hepatolithiasis and intrahepatic cholangiocarcinoma,and to study the clinical features,diagnosis,treatment of hepatolithiasis combincd with intrahepatic cholangiocarcinoma.Methods 6 cases of hepatolithiasis associated with intrahepatic cholangiocarcinoma were analyzed retrospectively.Results Among 6 cases,2 cases were treated by endoscopic retrograde biliary drainage and stent implantation,4 cases were treated by laparotomy,in which 3 cases underwented hepatic resection.Pathological examination suggested that all cases were adenocarcinoma.Conclusion Hepatolithiasis is closely related with intrahepatic cholangiocarcinoma.Therefore,clinical doctors should be vigilant with the long-term hepatolithiasis,and pay attention to the clinical features of hepatolithiasis associated with intrahepatic cholangiocarcinoma and put more emphasis on the periodic review of high-risk patients.Liver resection is an effective means to treat hepatolithiasis associated with intrahepatic cholangiocarcinoma and should be operated as soon as possible when diagnosed.