Bilateral liver resection for bilateral intrahepatic stones

AIM： To evaluate the short- and long-term outcomes of bilateral liver resection for bilateral intrahepatic stones. METHODS： We reviewed retrospectively 101 consecutive patients with bilateral intrahepatic stones who underwent bilateral liver resection in the past 10 years. The short- and long-term o...

Full description

Saved in:
Bibliographic Details
Published in:World journal of gastroenterology : WJG 2009-08, Vol.15 (29), p.3660-3663
Main Authors: Li, Shao-Qiang, Liang, Li-Jian, Hua, Yun-Peng, Peng, Bao-Gang, Chen, Dong, Fu, Shun-Jun
Format: Article
Language:English
Subjects:
Adult
Aged
Brief
Female
Gallstones - surgery
Hepatectomy - adverse effects
Hepatectomy - mortality
Humans
Liver Diseases - surgery
Male
Middle Aged
Proportional Hazards Models
Recurrence
Retrospective Studies
Treatment Outcome
Young Adult
切除术
复发率
模型显示
肝切除
风险模型
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:AIM： To evaluate the short- and long-term outcomes of bilateral liver resection for bilateral intrahepatic stones. METHODS： We reviewed retrospectively 101 consecutive patients with bilateral intrahepatic stones who underwent bilateral liver resection in the past 10 years. The short- and long-term outcomes of the patients were analyzed. The Cox proportional hazards model was used to identify the risk factors related to stone recurrence. RESULTS： There was no surgical mortality in this group of patients. The surgical morbidity was 28.7%. Stone clearance rate after hepatectomy was 84.2% and final clearance rate was 95.0% following postoperative choledochoscopic lithotripsy. The stone recurrence rate was 7.9% and the occurrence of postoperative cholangitis was 6.5% in a median followup period of 54 mo. The Cox proportional hazards model indicated that liver resection range, less than the range of stone distribution （P = 0.015, OR = 2.152） was an independent risk factor linked to stone recurrence. CONCLUSION： Bilateral liver resection is safe and its short- and long-term outcomes are satisfactory for bilateral intrahepatic stones.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.15.3660