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Abstract
Background: In treating recurrent bile duct stones, liver resection can clear away stones and remove biliary strictures and atrophic liver parenchyma. Therefore, we conducted a study to evaluate the results of hepatectomy for recurrent bile duct stones.
Method: A descriptive study included 34 patients with recurrent bile duct stones who underwent hepatectomy from January 2019 to June 2022.
Results: The male/female ratio was 2.4/1 with an average age of 53,9±8,8 years. Indications for hepatectomy included 64.7% atrophy or severe fibrosis of the liver segment, 29.4% presence of a liver abscess, and 5.9% suspected cholangiocarcinoma. Left lateral sectionectomy, left hepatectomy and right posterior sectionectomy were 88,2%, 8,8%, and 2,9%, respectively. The mean operative time was 179,8 ± 36,6 min (155 - 210), and the mean intraoperative blood loss was 225,7 ± 98,6 ml (170 - 350). The initial surgical stone clearance rate was 88,2%, and the final stone clearance
rate was 94,1%. The postoperative complications included 14.7% wound infection and 5.9% intraabdominal abscess.
Conclusion: Hepatectomy for treating recurrent bile duct stones is a safe and effective procedure. The proper selection of which patients should undergo liver resection will lead to better outcomes.
Keywords: Bile duct stones, recurrent bile duct stones, liver resection.
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| Published | 30-12-2024 | |
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| Issue | Vol. 16 No. 6 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.16.6.4 | |
| Keywords | Từ khóa: Sỏi mật, sỏi mật tái phát, phẫu thuật cắt gan. |
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