Article

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
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  • (Department of General Surgery, Peking University Third Hospital, Beijing 100191, China)

Online published: 2016-10-18

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.

Cite this article

LI Tao , CUI Long , WANG Gang , LING Xiao-feng , HOU Chun-sheng , WANG Li-xin , XU Zhi . Total laparoscopy to treat hepatolithiasis using gallbladder-hepatic duct subcutaneous tunnel[J]. Journal of Peking University(Health Sciences), 2016 , 48(5) : 915 -918 . DOI: 10.3969/j.issn.1671-167X.2016.05.031

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