The Journal of Practical Medicine ›› 2023, Vol. 39 ›› Issue (21): 2857-2860.doi: 10.3969/j.issn.1006-5725.2023.21.027

• Reviews • Previous Articles    

Advance on surgical treatment of hepatolithiasis

Peng CHEN1,Zheyu ZHU1,Feifan WU1,Siyu WANG2,Yiyu HU2,Weimin WANG1,Chunmu MIAO1,Yunbing WANG1(),Xiong DING1()   

  1. Department of Hepatobiliary Surgery,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China
  • Received:2023-07-10 Online:2023-11-10 Published:2023-12-19
  • Contact: Yunbing WANG,Xiong DING E-mail:wangyunbing@cqmu.edu.cn;300378@hospital.cqmu.edu.cn

Abstract:

Hepatolithiasis is a common biliary tract disease in China and other Asian countries. It has insidious onset, recurrent disease, and may lead to biliary cirrhosis or even cancer in the late stage without intervention. At present, surgery is considered to be the best choice for treatment. In the 21st century of minimally invasive surgery, traditional procedures such as partial hepatectomy, choledochotomy, cholangioenterostomy and liver transplantation can be performed with the assistance of laparoscopy and da Vinci robots, and emerging endoscopic techniques such as endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic choledochoscopic lithotripsy (PTCSL) have also been developed, bringing better treatment for patients with hepatolithiasis. As treatment options are becoming more varied, there are also some clinical problems that need to be addressed. In this article, we would like to briefly review the current surgical treatment modalities in order to provide a theoretical basis for optimizing the treatment modalities.

Key words: hepatolithiasis, surgery, treatment

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