Laparoscopic Anatomical Hepatectomies for Intrahepatic Bile Duct Stone

Objective To assess the feasibility and safety of laparoscopic anatomical hepatectomies(LAH) for intrahepatic bile duct stone.Methods LAH was performed in 14 patients with intrahepatic bile duct stone,while another 20 patients with intrahepatic bile duct stone underwent classical operation.Surgical time,blood loss,postoperative complications,and postoperative hospital stay were recorded.Results The operations were successful in all 14 patients who underwent LAH.Surgical time was 190-420 min [mean(259±134)min].Blood loss during operation was 220-1000 ml [mean(454.5±314.2) ml].No serious postoperative complications occurred.All these 14 patients were discharged with T dragin 7-14 days later,and the mean postoperative hospital stay was(9.2±3.4) days.In the classical operation group,the surgical time was 125-257 min [mean(178±58) min] and the blood loss was 210-1200ml [mean(550.9±348.1) ml].All the patients were discharged with T dragin 9-25 days after operation,and the mean postoperative hospital stay was(13.4±4.7) days.Surgical time of LAH was longer than classical operation(P0.05).Rate of postoperative complications and postoperative hospital stay were decreased in LAH(P0.05,P0.01).The difference of blood loss during operation was no significance between LAH and classical operation(P0.05).Conclusions LAH is feasible and safe for selected patients with intrahepatic bile duct stones.As a minimally invasive procedure,it can reduce surgical time,blood loss,hospital stay,and postoperative complications.