[Surgical treatment of 2465 primary hepatolithiasis cases].
OBJECTIVE
To summarize the experience of surgical treatment of primary hepatolithiasis.


METHODS
To analyze the clinical data, operation choice, postoperative complications of 2465 cases of primary hepatolithiasis retrospectively.


RESULTS
Of the patients, 2034 received external drainage (82.5%) and 431 received internal drainage (17.5%) and 586 were performed adjunctive partial hepatectomy (23.8%). The postoperative complications were found in 211 cases (8.6%) and 17 cases (0.7%) died after the operation. One thousand seven hundred and sixty-seven cases (71.7%) have been followed up for 2 to 25 years, among them therapeutic effect of 1518 cases (85.9%) was excellent or good, 315 cases (17.8%) had residual stone and 115 cases (6.5%) recurred.


CONCLUSIONS
It could decrease the incidence rate of complications, residual stone and recurrence in the patients with hepatolithiasis after surgical therapy to pinpoint the situs of the lithiasis and biliary stricture and managed properly before the surgery.
Tang
Hui-huan
HH
Department of General Surgery, Xiangya Hospital of Central South University, Changsha 410008, China. cs.zj@163.com
Zhou
Jun
J
Xiao
Guang-fa
GF
Gong
Xue-jun
XJ
He
Qun
Q
Hu
Guo-huang
GH
Wang
Xian-wei
XW
Wei
Wei
W
Zhang
Xue-li
XL
Li
Jiang-ning
JN
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001653:Bile Ducts, Intrahepatic; D002648:Child; D002769:Cholelithiasis / Q000601:surgery*; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies