+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Laparoscopic left hepatectomy in patients with intrahepatic duct stones and recurrent pyogenic cholangitis

Laparoscopic left hepatectomy in patients with intrahepatic duct stones and recurrent pyogenic cholangitis

Korean Journal of Hepato-Biliary-Pancreatic Surgery 16(3): 105-109

Recently many studies have been reported the early results of a hepatectomy for various intrahepatic lesions. Also various types of laparoscopic hepatectomies are being performed in many centers. Some reports about the safety of laparoscopic parenchymal dissection of the liver have been published. In this study, we reported our experiences of laparoscopic left hepatectomies in patients with an intrahepatic duct (IHD) stone with recurrent pyogenic cholangitis (RPC), and investigated whether the total laparoscopic parenchymal dissection is as safe as open surgery. From April 2008 to December 2010, 25 patients had been admitted for left IHD stones with RPC. Preoperatively, the type of surgery was decided with the intention of treating each patient. Initially 10 patients underwent a laparoscopy-assisted left hepatectomy and the next 15 patients underwent total laparoscopic left hepatectomy as our experience grew. Demographics, peri- and postoperative results were collected and analyzed comparatively. The mean age, gender ratio, preoperative American Society of Anesthesiologists (ASA) score, accompanied acute cholangitis and biliary pancreatitis, and the number of preoperative percutaneous transhepatic biliary drainage (PTBD) inserted cases were not different between the two groups who had undergone laparoscopy-assisted and totally laparoscopic left hepatectomy. The operation time, intraoperative transfusions and postoperative complications also showed no difference between them. The postoperative hospital stay did not show a significant difference statistically. In this study, we concluded that a laparoscopic left hepatectomy can be adapted to the patients with a left IHD stone with RPC. Also laparoscopic parenchymal dissection is safe and equivalent to an open procedure.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 058197680

Download citation: RISBibTeXText

PMID: 26388917

DOI: 10.14701/kjhbps.2012.16.3.105

Related references

Comparison of laparoscopic versus open left-sided hepatectomy for intrahepatic duct stones. Surgical Endoscopy 30(1): 259-265, 2016

Laparoscopic treatment for intrahepatic duct stones in the era of laparoscopy: laparoscopic intrahepatic duct exploration and laparoscopic hepatectomy. Annals of Surgery 249(2): 286-291, 2009

Cholangiohepatitis or recurrent pyogenic cholangitis with intrahepatic and extrahepatic bilepigment stones. JAMA 178: 934-935, 1961

Recurrent pyogenic cholangitis treated by left hepatectomy. Indian Journal of Surgery 73(4): 309-311, 2011

Endoscopic removal of large common bile duct stones in recurrent pyogenic cholangitis. Gastrointestinal Endoscopy 34(3): 238-241, 1988

Laparoscopic left hemihepatectomy for treatment of left intrahepatic duct stones. American Surgeon 80(12): E350-E351, 2014

Safety and feasibility analysis of combination therapy of laparoscopic left hepatectomy and choledochoscopy for calculus of the left intrahepatic duct. Minerva Chirurgica 74(2): 115-120, 2019

Laparoscopic left hemihepatectomy for left intrahepatic duct stones. Journal of the Korean Surgical Society 83(3): 149-154, 2012

Cholecystectomy decreased the recurrent cholangitis after clearance of bile duct stones by ERCP in patients with gallstone-related cholangitis. Journal of the Chinese Medical Association 80(11): 690-696, 2017

Bacterial beta glucuronidase in bile and brown pigment stones from patients with recurrent pyogenic cholangitis. Gastroenterology 98(5 Part 2): A243, 1990

Recurrent Pyogenic Cholangitis: Got Stones?. Digestive Diseases and Sciences 61(11): 3147-3150, 2016

Laparoscopic Anatomical Left Hepatectomy for Intrahepatic Bile Duct Papillary Mucinous Cystadenoma With Intraoperative Vascular Repair: A Case Report. Medicine 95(6): E2802, 2016

A study of gall-stones and included worms in recurrent pyogenic cholangitis. Journal of Pathology and Bacteriology 86: 123-129, 1963

Laparoscopic treatment of recurrent pyogenic cholangitis. Journal of Hepato-Biliary-Pancreatic Surgery 12(3): 243-248, 2005

Comparison of emergent versus elective laparoscopic common bile duct exploration for patients with or without nonsevere acute cholangitis complicated with common bile duct stones. Journal of Surgical Research 187(1): 72-76, 2014