Journal of Peking University(Health Sciences) ›› 2016, Vol. 48 ›› Issue (5): 915-918. doi: 10.3969/j.issn.1671-167X.2016.05.031

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Total laparoscopy to treat hepatolithiasis using gallbladder-hepatic duct subcutaneous tunnel

LI Tao*, CUI Long, WANG Gang, LING Xiao-feng, HOU Chun-sheng, WANG Li-xin, XU Zhi△   

  1. (Department of General Surgery, Peking University Third Hospital, Beijing 100191, China)
  • Online:2016-10-18 Published:2016-10-18
  • Contact: XU Zhi E-mail:xuzhi123456@sohu.com

Abstract:

To investigate the effect and feasibility of total laparoscopy to treat hepatolithiasis using gallbladder-hepatic duct subcutaneous tunnel.Retrospective analysis was conducted of the case data of 11 patients with hepatolithiasis who underwent total laparoscopic treatment using gallbladder-hepatic duct subcutaneous tunnel from January 2010 to October 2014. The operation time, blood loss, postoperative complications and recurrence of stones were recorded.All the cases completed the operation.The average hospital-stay was 9.2 days (range: 3-29 d). The average operation time was 298 min (range: 225-480 min). The average blood loss was 253 mL (range: 50-700 mL), and the average blood loss of liver resection groups was 325 mL (range: 200-700 mL). The average discharge time was 3.3 days (range: 3-5 d). The rate of postoperative residual stones was 36.4% (4/11).We extracted stones with choledochofiberscope via T-tube sinus six weeks after operation. One case developed biliary leakage, and healed through adequate drainage and the T-tube was pulled out after one month. There was no perioperative mortality. All the cases were followed up and the mean follow-up was 22 months (range: 2-51 months). The anastomotic stenosis of gallbladder-hepatic duct was found in one case. But we got a good therapeutic result with performed gallbladder chemical ablation with 95% ethanol. No recurrence of hepatolithiasis was found. As a choice for minimally invasive method to hepatolithiasis using gallbladder-hepatic duct subcutaneous tunnel,total laparoscopy is a safe and feasible procedure.

Key words: Bileducts, intrahepatic, Calculi, Biliary tract surgical procedures, Laparoscopy

CLC Number: 

  • R575
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