Effect of stylized laparoscopic left hemihepatectomy combined with stone extraction by percutaneous transhepatic cholangioscopy in the treatment of Left Intrahepatic Bile Duct Stones

Abstract

Objective \nTo investigate the clinical effect of stylized laparoscopic left hemihepatectomy combined with stone extraction by percutaneous transhepatic cholangioscopy in the treatment of Left Intrahepatic Bile Duct Stones. \n \n \nMethods \n100 cases of left intrahepatic cholangiolithiasis treated in our hospital from January 2015 to December 2017 were retrospectively analyzed. According to the surgical methods, they were divided into laparoscopy combined choledochoscopy group (observation group, n=50) and laparotomy combined choledochoscopy group (control group, n=50). SPSS19.0 software was used for data analysis. The intraoperative and postoperative measurements were described by (±s), and compared by independent t test. Pearson χ2 test and Kruskal-Wallis test were used to compare the classified and ordered data of postoperative residual stones, complications, short-term efficacy and recurrence. P<0.05 was statistically significant. \n \n \nResults \nThere was no significant difference in the operation time between the observation group and the control group (P>0.05). The amount of bleeding, the time of ambulation after operation, the recovery time of intestinal function and the time of hospitalization in the observation group were significantly better than those in the control group (P 0.05). \n \n \nConclusion \nCompared with traditional laparotomy, stylized laparoscopic left hemihepatectomy combined with stone extraction by percutaneous transhepatic cholangioscopy is safe and effective for the treatment of left intrahepatic bile duct stones. It has the advantages of quick recovery, less complications and better clinical efficacy. It has good clinical value. \n \n \nKey words: \nCalculi;\xa0Bile ducts, intrahepatic;\xa0Laparoscopes;\xa0Hepatectomy