Hepatetomy in the treatment of hepatolithiasis

Objective To evaluate the therapeutic effect of hepatetomy in the patients with intrahepatic bile duct stones.Methods The clinical data of 116 patients with intrahepatic lithiasis treated with were retrospectively analyzed.Stone distribution,operation modality,postoperative complications,and therapeutic effect were assessed.Results Among the 116 patients,59 cases(50.86%) were treated with left lateral hepatectomy,21 cases(18.10%) with left hemihepatectomy,7 cases(6.03%) with quadarate lobectomy,3 cases(2.59%) with right hemihepatectomy or segmentectomy,and 12 cases(10.34%) with left and right segmentectomy.Additional biliary procedures including common bile duct exproation and cholangio-enterostomy were performed in 46 patients(39.66%).Postoperative complications occurred in 12(10.34%) cases,including biliary fistual,hemobilia and subdiaphragmatic infections.One patient died in 10 days due to liver and kidney failure.The follow-up study conducted in 108 patients(93.10%) for an average of 5.9 years showed that excellent results were achieved in 92.59% of the patients.Conclusions Regular hepatic lobectomy /segmentectomy is the most effective managment for intrahepatic lithiasis.