Left liver anatomical resection via the left vertical groove and intraoperative antegrade cholangioscopy in patients with left-sided hepatolithiasis and previous biliary tract surgery
| Autor: | Guo-Qin Jiang, Ren-Gen Fan, Xu-Dong Wu, Yong Zhou, Wen-Zhang Zha |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Medicine (General) medicine.medical_specialty Clinical Research Reports Left liver 030204 cardiovascular system & hematology liver Biochemistry Left sided 03 medical and health sciences R5-920 0302 clinical medicine Hepatic Artery Anatomical resection Medicine Humans In patient Biliary Tract Aged Left vertical groove Intraoperative Care business.industry intraoperative antegrade cholangioscopy Portal Vein left-sided hepatolithiasis Dissection Liver Diseases Biochemistry (medical) Cell Biology General Medicine Middle Aged medicine.disease biliary operation history Surgery Biliary Tract Surgical Procedures Treatment Outcome 030220 oncology & carcinogenesis common bile duct Female Biliary Tract Surgery Hepatolithiasis hepatic duct orifice business Groove (joinery) Cholangiography |
| Zdroj: | The Journal of International Medical Research Journal of International Medical Research, Vol 47 (2019) |
| ISSN: | 1473-2300 0300-0605 |
| Popis: | Objective This study aimed to assess the safety and efficacy of left liver anatomical resection via the left vertical groove following intraoperative antegrade cholangioscopy (biliary exploration through the left hepatic duct orifice) in patients with left-sided hepatolithiasis (LSH) and previous biliary tract surgery. Methods Between January 2012 and January 2016, eligible patients with LSH (n = 28) who underwent left liver anatomical resection via the left vertical groove followed by intraoperative antegrade cholangioscopy, were referred to our hospital. Clinical results, such as the overall operative time, length of hospital stay, intraoperative complications, residual stones and postoperative bile leaks, were recorded and analyzed. Results No residual stones and bile leakage occurred in the patients. No patients experienced intraoperative complications or T-tube placement. The mean operative time was 135.1 ± 18.9 minutes. The mean postoperative duration of hospitalization was 7.8 ± 1.8 days. Conclusions Left liver anatomical resection via the left vertical groove combined with intraoperative antegrade cholangioscopy is a safe and useful method for patients with LSH and previous biliary tract surgery. This technique simplifies the operative procedure by avoiding dissection of the porta hepatis and subsequent choledochotomy. |
| Databáze: | OpenAIRE |
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