title: Laparoscopic hepatic left lateral lobectomy combined with fiber choledochoscopic exploration of the common bile duct and traditional open operation.
abstract: OBJECTIVE
  To investigate the possibilities and advantages of laparoscopic hepatic left lateral lobectomy combined with fiber choledochoscopic exploration of the common bile duct compaired with traditional open operation.
  
  
  METHODS
  Laparoscopic hepatic left lateral lobectomy combined with fiber choledochoscopic exploration of the common bile duct and traditional open operation were performed in two groups of patients who had gallstones in the left lobe of liver and in the common bile duct. The hospitalization time, hospitalization costs, operation time, operative complications and post-operative liver functions of the two groups of patients were studied.
  
  
  RESULTS
  The operation time and post-operative liver functions of the two groups of patients had no significant differences, while the hospitalization time, hospitalization costs and operative complications of the laparoscopic hepatic left lateral lobectomy combined with fiber choledochoscopic exploration in the common bile duct group were significantly lower than those in the traditional open operation group.
  
  
  CONCLUSIONS
  For patients with gallstones in the left lobe of liver and in the common bile duct, laparoscopic hepatic left lateral lobectomy combined with fiber choledochoscopic exploration of the common bile duct can significantly shorten the hospitalization time, reduce the hospitalization costs and the post-operative complications, without prolonging the operation time and bringing about more liver function damages compared with traditional open operation. This kind of operation has more advantages than traditional open operation.
authors.affiliation: Department of Hepatobiliary Surgery, Fuzhou General Hospital, Fuzhou 350025, Fujian Province, China.
authors.forename: Kun
authors.initials: K
authors.lastname: Zhang
authors.forename: Shao-Geng
authors.initials: SG
authors.lastname: Zhang
authors.forename: Yi
authors.initials: Y
authors.lastname: Jiang
authors.forename: Peng-Fen
authors.initials: PF
authors.lastname: Gao
authors.forename: Hai-Ying
authors.initials: HY
authors.lastname: Xie
authors.forename: Zhi-Hong
authors.initials: ZH
authors.lastname: Xie
mesh_terms: D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D016145:Endoscopy, Digestive System / Q000379:methods; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008107:Liver Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology