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Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
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Published on: March 10, 2023

Single gigantic calculus of common bile duct and multiple hepatolithiasis

Yiping Mou1, Huijiang Zhou, Bin Xu

  • 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

American Journal of Surgery
|August 10, 2011
PubMed

Insights

This study details a rare case of a gigantic common bile duct stone. Surgical removal via left hemihepatectomy and Roux-en-Y hepaticojejunostomy proved effective for this complex choledocholithiasis.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Hepatobiliary Surgery

Background:

  • Choledocholithiasis, or common bile duct stones, is a prevalent surgical condition globally.
  • Gigantic common bile duct stones (>10 cm) are exceptionally rare occurrences.

Observation:

  • A patient presented with a single, unusually large calculus in the common bile duct.
  • The patient also had multiple additional stones within the left intrahepatic ducts.

Findings:

  • The patient underwent a left hemihepatectomy combined with a Roux-en-Y hepaticojejunostomy.
  • The surgical intervention resulted in an uneventful postoperative recovery.

Implications:

  • This case highlights left hemihepatectomy and Roux-en-Y hepaticojejunostomy as an optimal treatment strategy for gigantic common bile duct stones with intrahepatic involvement.
  • The successful outcome underscores the efficacy of this surgical approach in managing rare and complex hepatobiliary presentations.

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