title: [Treatment of hepatolithiasis by multiple operative methods with hepatico-subcutaneous stoma].
abstract: OBJECTIVE
  To evaluate the mid-term and long-term outcomes of patients with hepatolithiasis after receiving multiple operative methods with hepatico-subcutaneous stoma.
  
  
  METHODS
  A retrospective analysis was performed based on 156 patients with hepatolithiasis who underwent multiple operative methods with hepatico-subcutaneous stoma from Apr. 1993 to Mar. 2010 in Peking University Third Hospital. Thirty-seven of them had stone in the left lobe (23.7%), 22 in the right lobe (14.1%), and 97 in bilateral lobes (62.2%). Ninety-nine patients had hepatolithiasis combined with biliary stricture (63.5%).
  
  
  RESULTS
  All of the patients underwent successful operations and recovered well with no death in perioperative period. The rate of operative complications was 35.9%. A total of 146 patients were followed up with a median time of 7 years. The rate of patients with cholangitis, recurrent stone, and biliary stricture newly detected was 13.0% (19/146), 21.9% (32/146) and 8.2% (12/146), respectively. Draining inflammatory bile and taking out recurrent stones by hepatico-subcutaneous stoma were carried out in 35 patients (24.0%).
  
  
  CONCLUSIONS
  Treatment of hepatolithiasis with biliary stricture and its recurrence by multiple operative methods with hepatico-subcutaneous stoma is safe, effective, minimally invasive, and easy to perform.
authors.affiliation: Department of General Surgery, Peking University Third Hospital, Beijing 100191, China. xuzhi123456@sohu.com
authors.forename: Zhi
authors.initials: Z
authors.lastname: Xu
authors.forename: Xiao-feng
authors.initials: XF
authors.lastname: Ling
authors.forename: Li-xin
authors.initials: LX
authors.lastname: Wang
authors.forename: Chun-sheng
authors.initials: CS
authors.lastname: Hou
authors.forename: Gang
authors.initials: G
authors.lastname: Wang
authors.forename: Xiao-si
authors.initials: XS
authors.lastname: Zhou
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001653:Bile Ducts, Intrahepatic / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000379:methods*; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D054047:Surgical Stomas; D055815:Young Adult