Abstract:Objective:To explore the effective therapeutic methods for hepatolithiasis.
Methods :We retrospectively analyzed the clinical material of 178 hepatolithiasis patients who underwent surgical therapy. Among the 178 patients, 107 patients were treated with T- tube drainage(including 7 patients with left hepatic lobe or quadlrate lobe resection), and 71 patients were treated with bile duct-intestinal anastomosis (including 11 patients with left hepatic lobe or quadrate lobe resection).
Results:Recurrence rate of postoperative angiocholitis in the two groups was 49.5 % and 24 % respectively, and the reoperation rate was 28.7 % and 8 % respectively.
Conclusions:The key to prevent recurrent angiocholitis and reduce the reoperation rate is to relieve biliary tract stricture, remove the focus of infection and provide unobstructed bile duct drainage.