Original Article

J Minim Invasive Surg 2014; 17(4): 68-70

Published online December 15, 2014

https://doi.org/10.7602/jmis.2014.17.4.68

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

Initial Experience of Laparoscopic Hepatectomy for Intrahepatic Duct (IHD) Stones: Comparison with Open Hepatectomy

Joon Sang Lee, M.D., Yoo Shin Choi, M.D., Ph.D., Seung Eun Lee, M.D., Ph.D.

Department of Surgery, Chung-Ang University College of Medicine, Seoul, Korea

Received: September 1, 2014; Revised: October 9, 2014; Accepted: October 10, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Purpose: The aim of this study is to analyze our initial experiences with laparoscopic hepatectomy for treatment of intrahepatic duct (IHD) stones and to compare the outcomes of laparoscopic hepatectomy and open hepatectomy. Methods: From March 2010 to December 2012, for treatment of IHD stones we performed laparoscopic hepatectomy in seven cases (LH group), which consisted of four cases of left lateral sectionectomy and three cases of left hepatectomy, and open hepatectomy was performed in nine cases (OH group), which consisted of seven cases of left lateral sectionectomy and two cases of left hepatectomy. Because there was no case of right hepatectomy in the LH group, we excluded a case of right hepatectomy in the OH group. Retrospective analysis of the clinical outcomes was performed with exclusion of one case of right hepatectomy. Results: There was no significant difference in male to female ratio, mean age, and mean operation time. The mean post-operative hospital stay of the LH group was significantly shorter than that of the OH group (10.9±4.7 vs. 22.0±9.0 days, p=0.007). There were two cases of intra-abdominal fluid collection in the OH group, but no case in the LH group. Remnant stones were detected in one patient of the LH group and two patients of the OH group. The initial success rate of stone clearance was 85.7% in the LH group and 77.8% in the OH group. During a mean follow-up period of 13 months (range, four to 25 months), recurrent stone was detected in one case of the OH group. Conclusion: Laparoscopic surgery could be an effective treatment modality for management of IHD stones in select patients.

Keywords Bile ducts, Calculi, Laparoscopy, Hepatectomy

  1. Jeong CY, Kim KJ, Hong SC, et al. Laparoscopic left hemihepatectomy for left intrahepatic duct stones. J Korean Surg Soc 2012;83(3):149-154.
    Pubmed KoreaMed CrossRef
  2. Namgoong JM, Kim KH, Park GC, et al. Comparison of laparoscopic versus open left hemihepatectomy for left-sided hepatolithiasis. Int J Med Sci 2014;11(2):127-133.
    Pubmed KoreaMed CrossRef
  3. Yoon YS, Han HS, Shin SH, Cho JY, Min SK, Lee HK. Laparoscopic treatment for intrahepatic duct stones in the era of laparoscopy: laparoscopic intrahepatic duct exploration and laparoscopic hepatectomy. Ann Surg 2009;249(2):286-291.
    Pubmed CrossRef
  4. Simillis C, Constantinides VA, Tekkis PP, et al. Laparoscopic versus open hepatic resections for benign and malignant neoplasms--a meta-analysis. Surgery 2007;141:203-211.
    Pubmed CrossRef
  5. Chen DW, Tung-Ping Poon R, Liu CL, Fan ST, Wong J. Immediate and long-term outcomes of hepatectomy for hepatolithiasis. Surgery 2004;135:386-393.
    Pubmed CrossRef
  6. Lee SE, Jang JY, Lee JM, Kim SW. Selection of appropriate liver resection in left hepatolithiasis based on anatomic and clinical study. World J Surg 2008;32(3):413-418.
    Pubmed CrossRef
  7. Lee TY, Chen YL, Chang HC, Chan CP, Kuo SJ. Outcomes of hepatectomy for hepatolithiasis. World J Surg 2007;31:479-482.
    Pubmed CrossRef
  8. Uchiyama K, Kawai M, Ueno M, Ozawa S, Tani M, Yamaue H. Reducing residual and recurrent stones by hepatectomy for hepatolithiasis. J Gastrointest Surg 2007;11:626-630.
    Pubmed CrossRef

Article

Original Article

J Minim Invasive Surg 2014; 17(4): 68-70

Published online December 15, 2014 https://doi.org/10.7602/jmis.2014.17.4.68

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

Initial Experience of Laparoscopic Hepatectomy for Intrahepatic Duct (IHD) Stones: Comparison with Open Hepatectomy

Joon Sang Lee, M.D., Yoo Shin Choi, M.D., Ph.D., Seung Eun Lee, M.D., Ph.D.

Department of Surgery, Chung-Ang University College of Medicine, Seoul, Korea

Received: September 1, 2014; Revised: October 9, 2014; Accepted: October 10, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: The aim of this study is to analyze our initial experiences with laparoscopic hepatectomy for treatment of intrahepatic duct (IHD) stones and to compare the outcomes of laparoscopic hepatectomy and open hepatectomy. Methods: From March 2010 to December 2012, for treatment of IHD stones we performed laparoscopic hepatectomy in seven cases (LH group), which consisted of four cases of left lateral sectionectomy and three cases of left hepatectomy, and open hepatectomy was performed in nine cases (OH group), which consisted of seven cases of left lateral sectionectomy and two cases of left hepatectomy. Because there was no case of right hepatectomy in the LH group, we excluded a case of right hepatectomy in the OH group. Retrospective analysis of the clinical outcomes was performed with exclusion of one case of right hepatectomy. Results: There was no significant difference in male to female ratio, mean age, and mean operation time. The mean post-operative hospital stay of the LH group was significantly shorter than that of the OH group (10.9±4.7 vs. 22.0±9.0 days, p=0.007). There were two cases of intra-abdominal fluid collection in the OH group, but no case in the LH group. Remnant stones were detected in one patient of the LH group and two patients of the OH group. The initial success rate of stone clearance was 85.7% in the LH group and 77.8% in the OH group. During a mean follow-up period of 13 months (range, four to 25 months), recurrent stone was detected in one case of the OH group. Conclusion: Laparoscopic surgery could be an effective treatment modality for management of IHD stones in select patients.

Keywords: Bile ducts, Calculi, Laparoscopy, Hepatectomy

References

  1. Jeong CY, Kim KJ, Hong SC, et al. Laparoscopic left hemihepatectomy for left intrahepatic duct stones. J Korean Surg Soc 2012;83(3):149-154.
    Pubmed KoreaMed CrossRef
  2. Namgoong JM, Kim KH, Park GC, et al. Comparison of laparoscopic versus open left hemihepatectomy for left-sided hepatolithiasis. Int J Med Sci 2014;11(2):127-133.
    Pubmed KoreaMed CrossRef
  3. Yoon YS, Han HS, Shin SH, Cho JY, Min SK, Lee HK. Laparoscopic treatment for intrahepatic duct stones in the era of laparoscopy: laparoscopic intrahepatic duct exploration and laparoscopic hepatectomy. Ann Surg 2009;249(2):286-291.
    Pubmed CrossRef
  4. Simillis C, Constantinides VA, Tekkis PP, et al. Laparoscopic versus open hepatic resections for benign and malignant neoplasms--a meta-analysis. Surgery 2007;141:203-211.
    Pubmed CrossRef
  5. Chen DW, Tung-Ping Poon R, Liu CL, Fan ST, Wong J. Immediate and long-term outcomes of hepatectomy for hepatolithiasis. Surgery 2004;135:386-393.
    Pubmed CrossRef
  6. Lee SE, Jang JY, Lee JM, Kim SW. Selection of appropriate liver resection in left hepatolithiasis based on anatomic and clinical study. World J Surg 2008;32(3):413-418.
    Pubmed CrossRef
  7. Lee TY, Chen YL, Chang HC, Chan CP, Kuo SJ. Outcomes of hepatectomy for hepatolithiasis. World J Surg 2007;31:479-482.
    Pubmed CrossRef
  8. Uchiyama K, Kawai M, Ueno M, Ozawa S, Tani M, Yamaue H. Reducing residual and recurrent stones by hepatectomy for hepatolithiasis. J Gastrointest Surg 2007;11:626-630.
    Pubmed CrossRef

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