An appraisal of anatomical and limited hepatectomy for regional hepatolithiasis.
| Autor: | Jiang H; Department of Hepatobiliary Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China., Wu H, Xu YL, Wang JZ, Zeng Y |
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| Jazyk: | angličtina |
| Zdroj: | HPB surgery : a world journal of hepatic, pancreatic and biliary surgery [HPB Surg] 2010; Vol. 2010, pp. 791625. Date of Electronic Publication: 2010 Mar 15. |
| DOI: | 10.1155/2010/791625 |
| Abstrakt: | Aim: Determination of first line treatment with limited hepatectomy or Anatomical hepatectomy provides better clinical outcome. Methods: Immediate and long-term outcomes of 106 patients who underwent partial hepatectomy for RH at our institution from January 2001 to February 2005 were analyzed retrospectively. Clinical end-points included time to recovery of hepatic function, residual stones, infection of the liver remnant, bile leakage, recurrent stones, morbidity, and mortality. Results: LH was performed in 59 patients and AH in 47 patients as first-line treatment. The time of hepatic function recovery was not statistically different between the two groups (P > .05). However, Patients in AH group suffered from less residual stones (P < .05), less infection of the raw surface of liver remnant (P < .05), and less bile leakage (P < .05), with a median follow-up of 40.3 +/- 0.8 months (range 3-48), and AH group suffered a less recurrent stone rate (P < .05). No difference in morbidity, and mortality rates between the two groups. Conclusion: AH is a safe and effective treatment for RH, with a fair rate of surgical complications, it should be considered as first-line treatment of RH. |
| Databáze: | MEDLINE |
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