Contrast of therapeutic effects between CBD incision and LLHD stump in biliary tract exploration of LLS for hepatolithiasis

Surgical Endoscopy
Huiling WangZhixiang Jian

Abstract

Laparoscopic left lateral sectionectomy (LLS) followed by a biliary tract exploration is used to treat left lateral hepatolithiasis. The purpose of this study was to compare the efficacy of two methods of biliary tract explorations in LLSs: biliary tract exploration through a common bile duct (CBD) incision or through the left lateral hepatic duct (LLHD) stump. One hundred eight patients were retrospectively analyzed in our hospital from 2009 to 2018. To compare different methods of biliary tract explorations during LLSs, the patients were divided into 2 groups: 36 patients underwent biliary tract exploration through the LLHD stump (LLSS group), and 72 patients underwent biliary tract exploration through the CBD incision (LLSC group). Clinical data on disease characteristics, surgical outcomes, and surgery-related complications were compared between the 2 groups. Bile duct stones were successfully cleared in all patients. For 2 patients in the LLSS group and 3 patients in the LLSC group, treatment was switched to laparotomy. There were no significant differences in the total operation time (P = 0.09), incidence of bleeding volume (P = 0.33), and bile leakage (P = 0.12) between the two groups. The time of choledochoscopy in the ...Continue Reading

References

May 1, 1992·Journal of Gastroenterology and Hepatology·S T Fan, J Wong
Jul 1, 1980·Pathology·S T Chou, C W Chan
Jul 2, 2003·Annals of Surgery·Kazuhisa UchiyamaHiroki Yamaue
Oct 19, 2005·Archives of Surgery·Moon-Tong Cheung, Philip Chong-Hei Kwok
Mar 3, 2009·American Journal of Surgery·Takahiro UenishiShoji Kubo
Jul 11, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Sujit Vijay SakpalRonald Scott Chamberlain
Dec 13, 2016·Journal of Gastroenterology·Susumu TazumaTooru Shimosegawa

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