Abstract:Objective:To investigate the possibilities and advantages of laparoscopic left lateral hepatectomy combined with choledochoscopic exploration of common bile duct.
Methods :Laparoscopic left lateral hepatectomy combined with choledochoscopic exploration of common bile duct(n=10) and traditional open operations(n=10) were performed in patients who had gallstones in liver and biliary duct. The hospitalization time, operative complications and post-operative liver functions of the two groups were comparatively studied.
Results:The operation time and post-operative liver functions of the two groups had no significent differences, but the hospitalization costs and the operative complications of the laparoscopic liver resection and choledochoscopic bile duct exploration group were significantly lower than those of traditional open operation group.
Conclusions:Laparoscopic left lateral hepatectomy liver resections combined with choledochoscopic bile duct explorations had more advantages than traditional open operation for patients with gallstone in liver and biliary duct, because it could significantly shorten hospital time, and decrease hospital costs and postoperative complications, while it does not prolong operation time and has no adverse effect on liver function.