Selection of appropriate liver resection in left hepatolithiasis based on anatomic and clinical study

World Journal of Surgery
Seung Eun LeeSun-Whe Kim

Abstract

Because of the possibility of injury to the left medial section of the bile duct (B4) and the presumed higher recurrence rate of hepatolithiasis, some surgeons have recently preferred left hepatectomy for left hepatolithiasis. We investigated the appropriate treatment for left hepatolithiasis by evaluating the anatomy and variations of the left hepatic duct system in a normal population and analyzed the clinical outcome of liver resection. We reviewed the magnetic resonance imaging results of 115 normal subjects who underwent a workup for living related liver donation. An imaginary surgical resection line was established based on the lateral margin of the umbilical portion of the liver in T2-weighted axial images. The junction of B4 with the left hepatic duct was evaluated to determine the possibility of injury during liver resection. We also analyzed the clinical outcomes of 181 patients who underwent left lateral sectionectomy or left hepatectomy. The anatomic evaluation showed that B4 joined lateral to the umbilical portion of the liver in 7.0% (8/115) of cases. In patients with left hepatolithiasis, left hepatectomy was performed in 79 patients and left lateral sectionectomy in 102. The operating time for the left lateral s...Continue Reading

References

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Jan 7, 2004·World Journal of Surgery·Yong-Hyun ParkSun-Whe Kim

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Citations

Mar 20, 2010·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Hui JiangYong Zeng
Sep 4, 2015·World Journal of Surgery·Gennaro ClementeFelice Giuliante
Oct 10, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Omar Javed ShahFarhat Mustafa
Jul 11, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Sujit Vijay SakpalRonald Scott Chamberlain
Sep 28, 2012·ANZ Journal of Surgery·Chia-Cheng LinShou-Jen Kuo
Oct 19, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Long PengWeidong Xiao
Dec 7, 2017·World Journal of Gastroenterology : WJG·Hui LiGen-Shu Wang
Nov 23, 2013·Journal of Korean Medical Science·Jin-Seok ParkShin Goo Park
Apr 4, 2015·World Journal of Gastroenterology : WJG·Chang-Ku JiaWei-Ming Yu
Jun 7, 2019·Medicine·Xiangbao YinMingwen Huang
Apr 16, 2015·European Journal of Gastroenterology & Hepatology·Lorenzo PatroneGiovanni de Caro
Dec 17, 2015·World Journal of Gastroenterology : WJG·Yu-Gui LianXiao-Si Zhou

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