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Surgical Endoscopy

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01-07-2007

Laparoscopic hepatectomy for hepatolithiasis: a feasibility and safety study in 29 patients

Authors: Xiujun Cai, Yifan Wang, Hong Yu, Xiao Liang, Shuyou Peng

Published in: Surgical Endoscopy | Issue 7/2007

Abstract

Background

Hepatolithiasis is a prevalent disease in Southeast Asia. Heaptectomy was considered the best treatment for majority of cases. Laparoscopic hepatectomy is a new procedure for liver lesions that uses a minimal invasive approach. The aim of this study was to evaluate the feasibility and safety of laparoscopic hepatectomy for hepatolithiasis by comparing it with open hepatectomy.

Methods

From November 2002 to March 2006 a total of 30 consecutive patients underwent laparoscopic hepatectomy for hepatolithiasis in Sir Run Run Shaw Hosptial. Twenty-nine were included in this study (a converted case was excluded) and called the laparoscopic hepatectomy group (LH). During the same period 22 patients with hepatiolithiasis who met the inclusion criteria for laparoscopic hepatectomy were selected for open hepatectomy and called the open group (OH). All operations were performed by the authors. There was no significant difference in preoperative data between the two groups. Data were statistically compared.

Results

Compared with open hepatectomy, those who underwent laparoscopic hepatectomy had a shorter postoperative hospital stay and fasting time, a lower postoperative serum aminotransferase level, and a higher postoperative serum albumin level. Stone clearance rate (intermediate rate, 89.7% vs. 86.4%; final rate, 100% vs. 96.5%), stone recurrence rate (0% vs. 4.5%), operating time, and intraoperative blood loss were similar for the two groups. Six complications occurred, two (6.8%) in LH and four (18.2%) in OH. There was no perioperative mortality in either group.

Conclusion

Laparoscopic hepatectomy for hepatolithiasis is feasible and safe in selected patients.

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Title: Laparoscopic hepatectomy for hepatolithiasis: a feasibility and safety study in 29 patients
Authors: Xiujun Cai
Yifan Wang
Hong Yu
Xiao Liang
Shuyou Peng
Publication date: 01-07-2007
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 7/2007
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-007-9306-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic hepatectomy for hepatolithiasis: a feasibility and safety study in 29 patients

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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