• Department of Hepatobiliary Surgery, The Second Affiliated Hospital (Ruikang Hospital) of Guangxi Traditional Chinese Medical University, Nanning 530011, Guangxi, China;
WEI Yangnian, Email: wyn200420154@yahoo.com.cn
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ObjectiveTo explore the curative effect of precise hepatectomy techniques in hepatolithus. MethodsTotally 132 patients underwent precise hepatectomy and 52 patients underwent irregular hepatectomy were retrospectively analyzed, and the intraoperative and postoperative indexes such as operation time, blood loss, postoperative complications, hospitalization time, clearance rate of calculus, and cost of hospitalization were analyzed. ResultsCompared with the patients in irregular hepatectomy group, although the operative time was longer in precise hepatectomy group 〔(364.6±57.8) min vs. (292.9±44.7) min, P lt;0.001〕, but the patients in precise hepatectomy group had less blood loss 〔(558.3±90.6) ml vs. (726.7±88.7) ml, P lt;0.001〕, less postoperative complications (11.4% vs. 23.1%,P=0.004 3), and higher clearance rate of calculus (89.4% vs. 73.1%, P=0.005 5). Thus, the patients in precise hepatectomy group had shorter hospital stay 〔(22.9±4.4) d vs. (28.8±3.5) d, P lt;0.001〕 and less cost of hospitalization 〔(1.8±0.7)×104 yuan vs. (2.1±0.9)×104 yuan, P=0.016 5〕. Conclusion Precise hepatectomy is better than irregular hepatectomy in treatment for hepatolithus.

Citation: WEI Yangnian,HUANG Hai,MO Shifa,WANG Kejing,ZHANG Hongchang,TAN Xinhua,LI Quan.. Clinical Application of Precise Hepatectomy Techniques in Hepatolithus. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(1): 67-72. doi: Copy

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