Evolution of surgical treatment for hepatolithiasis  

作　　者：Yong-Qing Ye Pei-Heng Li Qing Wu Shang-Lin Yang Bao-Ding Zhuang Ya-Wen Cao Zhan-Yi Xiao Shun-Qian Wen 

机构地区：[1]Department of Hepatobiliary Surgery,The Second People's Hospital of Foshan,Foshan 528000,Guangdong Province,China [2]Department of Oncology,Foshan Nanhai District Fifth People's Hospital,Foshan 528000,Guangdong Province,China [3]Department of Emergency Medicine,Biomedical Innovation Center,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,Guangdong Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第12期3666-3674,共9页世界胃肠外科杂志（英文）

基　　金：Supported by Fundamental and Applied Basic Research Fund Committee of Guangdong Province,No.2022A1515140186,No.2022A1515220159,and No.2023A1515220128;Guangdong Medical Science and Technology Research Fund Project,No.A2023395;Guangdong Provincial Bureau of Chinese Medicine,No.20241303.

摘　　要：Hepatolithiasis is a common disease where stones are located in the intrahepatic bile duct.Hepatolithiasis is a disease with regional characteristics.The compli-cation and postoperative recurrence rates of the disease are high.The intrahepatic cholangiocarcinoma and the incidence of liver cirrhosisare the main causes of death in patients with hepatolithiasis.Thus,it is difficult to treat.The majority of biliary stones are readily removed endoscopically,however complex intrahepatic or large refractory extrahepatic stones often require surgical or percutaneous interventions when standard endoscopic methods fail.At present,the main clinical treatment for hepatolithiasis is surgery,of which there are different methods depending on the patient’s condition.With the continuous updates and development of medical technology,the treatment of hepatolithiasis has im-proved.In this paper,several mainstream surgical methods including partial hepatectomy,choledochojejunostomy,biliary tract exploration and lithotomy,percutaneous transhepatic chledochoscopic lithotripsy and liver transplantation used in the clinic are reviewed for clinicians'reference.Depending on the charac-teristics of each case,a suitable surgical method is chosen to obtain the best treatment effect.

关 键 词：HEPATOLITHIASIS Biliary disease Surgical treatment Minimally invasive treatment Clinical efficacy 

分 类 号：R657.3[医药卫生—外科学]