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Hepatic resection for hepatolithiasis

S T Fan1, E C Lai, J Wong

  • 1Department of Surgery, Queen Mary Hospital, University of Hong Kong.

Archives of Surgery (Chicago, Ill. : 1960)
|September 1, 1993
PubMed
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Hepatic resection is a viable treatment for hepatolithiasis, despite a high rate of postoperative septic complications. Careful surgical planning is essential due to inflammatory fibrosis, with a 16% recurrence rate observed.

Area of Science:

  • Hepatobiliary surgery
  • Gastroenterology
  • Surgical oncology

Background:

  • Hepatolithiasis, or intrahepatic stones, poses significant management challenges.
  • Recurrent infections and complications necessitate aggressive treatment strategies.

Purpose of the Study:

  • To evaluate the outcomes of hepatic resection for hepatolithiasis.
  • To analyze postoperative morbidity, mortality, and recurrence rates.

Main Methods:

  • Retrospective analysis of 63 patients with hepatolithiasis undergoing hepatic resection.
  • Procedures included left lateral segmentectomy, left/right hepatic lobectomy, and segmentectomy.
  • Follow-up ranged from 3 to 38 months.

Main Results:

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  • Hepatic resection presented surgical difficulties in 52% of cases due to inflammatory fibrosis.
  • Operative morbidity was 32% and mortality was 2%, with common complications including wound infection and abscesses.
  • Stone recurrence was observed in 16% of patients after a median follow-up of 47 months.

Conclusions:

  • Hepatic resection is a satisfactory treatment for hepatolithiasis.
  • High postoperative septic complication rates are inherent to resecting infected liver tissue.
  • Long-term surveillance is crucial to monitor for stone recurrence.