The Journal of Practical Medicine >

2023 , Vol. 39 >Issue 21: 2857 - 2860

DOI: https://doi.org/10.3969/j.issn.1006-5725.2023.21.027

Reviews

Advance on surgical treatment of hepatolithiasis

  • Peng CHEN ,
  • Zheyu ZHU ,
  • Feifan WU ,
  • Siyu WANG ,
  • Yiyu HU ,
  • Weimin WANG ,
  • Chunmu MIAO ,
  • Yunbing WANG ,
  • Xiong DING
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  • Department of Hepatobiliary Surgery，the Second Affiliated Hospital of Chongqing Medical University，Chongqing 400010，China

Received date: 2023-07-10

  Online published: 2023-12-19

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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

Cite this article

Peng CHEN , Zheyu ZHU , Feifan WU , Siyu WANG , Yiyu HU , Weimin WANG , Chunmu MIAO , Yunbing WANG , Xiong DING . Advance on surgical treatment of hepatolithiasis[J]. The Journal of Practical Medicine, 2023 , 39(21) : 2857 -2860 . DOI: 10.3969/j.issn.1006-5725.2023.21.027

References

1 JIN H， CUI M. A propensity score matching study between conventional and soft fiber-optic choledochoscope guided percutaneous transhepatic cholangioscopic lithotripsy for treatment of cholelithiasis［J］. Langenbecks Arch Surg， 2022，407（2）：675-683.
2 TAZUMA S， UNNO M， IGARASHI Y， et al. Evidence-based clinical practice guidelines for cholelithiasis 2016［J］. J Gastroenterol， 2017， 52（3）： 276-300.
3 BUXBAUM J L， FEHMI S M A， SULTA S， et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis［J］. Gastrointest Endosc， 2019，89（6）：1075-1105.
4 中国研究型医院学会肝胆胰外科专业委员会，国家卫生健康委员会公益性行业科研专项专家委员会.肝胆管结石病微创手术治疗指南（2019版）［J］. 中华消化外科杂志， 2019，18（5）：407-413.
5 黄徐建，何毅，何理，等. 腹腔镜和开腹肝切除术治疗肝内胆管结石安全性和效果的倾向性评分匹配研究［J］. 中华外科杂志， 2022，60（6）：593-598.
6 CHEN S， HUANG L， QIU F， et al. Total laparoscopic partial hepatectomy versus open partial hepatectomy for primary left-sided hepatolithiasis： A propensity， long-term follow-up analysis at a single center［J］. Surgery， 2018，163（4）：714-720.
7 PENG J， WANG L， DIAO J F， et al. Major hepatectomy for primary hepatolithiasis： a comparative study of laparoscopic versus open treatment［J］. Surg Endosc， 2018，32（10）：4271-4276.
8 金浩，刘会春，满忠然，等.完全腹腔镜下肝外Glisson鞘内解剖性肝切除术［J］.中国微创外科杂志，2020，20（4）：304-308.
9 ZHU T， ZHU K， SUN J， et al. The clinical effect of primary duct closure and T-tube drainage： A propensity score matched study［J］. Asian J Surg， 2022，S1015-9584（22）：01411-7.
10 郑树国. 腹腔镜和机器人技术在肝胆管结石病治疗中的应用及评价［J］. 中国实用外科杂志， 2016，36（3）：289-292.
11 黄熙龙，费书珂. 肝胆管结石病的微创治疗进展［J］. 中华临床医师杂志（电子版）， 2020，14（9）：725-729.
12 ZHU T， LIN H， SUN J， et al. Primary duct closure versus T-tube drainage after laparoscopic common bile duct exploration： a meta-analysis［J］. J Zhejiang Univ Sci B， 2021，22（12）：985-1001.
13 FANG C， DONG Y， LIU S， et al. Laparoscopy for Hepatolithiasis： Biliary Duct Exploration with Primary Closure Versus T-Tube Drainage［J］. J Laparoendosc Adv Surg Tech A，2020，30（10）：1102-1105.
14 何焯成，张朝晖，黄力，等. 胆肠改良襻式吻合术与Roux-en-Y吻合术的临床对比分析［J］. 新医学，2016，47（09）：595-599.
15 LI T， TUERXUN K， KEYOUMU Y， et al. Laparoscopic Versus Open Roux-en-Y Choledochojejunostomy： A Single-institute Experience With Literature Review［J］. Surg Laparosc Endosc Percutan Tech， 2020，31（3）：321-325.
16 边大鹏，史继荣，田孝东，等. 胆管空肠吻合联合空肠盲袢固定标记在复发肝胆管结石治疗中应用研究［J］. 中国实用外科杂志，2020，40（6）：715-718.
17 SUZUKI Y， MORI T， YOKOYAMA M， et al. Hepatolithiasis： analysis of Japanese nationwide surveys over a period of 40 years［J］. J Hepatobiliary Pancreat Sci， 2014， 21（9）： 617–622.
18 陈规划，易述红. 肝移植在复杂胆道结石治疗中的应用和评价［J］. 中国实用外科杂志， 2009，29（7）：547-549.
19 FENG L， XIA D， YAN L N. Liver transplantation for hepatolithiasis： Is terminal hepatolithiasis suitable for liver transplantation？ ［J］. Clin Transplant， 2016，30（6）：651-658.
20 CHERQUI D， SOUBRANE O， HUSSON E， et al. Laparoscopic living donor hepatectomy for liver transplantation in children［J］. Lancet， 2002，359（9304）：392-396.
21 RHO S Y， LEE J G， JOO D J， et al. Outcomes of Robotic Living Donor Right Hepatectomy From 52 Consecutive Cases： Comparison With Open and Laparoscopy-assisted Donor Hepatectomy［J］. Ann Surg， 2022，275（2）：e433-e442.
22 中华医学会消化内镜学分会ERCP学组，中国医师协会消化医师分会胆胰学组，国家消化系统疾病临床医学研究中心.中国经内镜逆行胰胆管造影术指南（2018版）［J］. 临床肝胆病杂志， 2018，34（12）：2537-2554.
23 谷化剑，郭宇廷，韩民，等. 经内镜逆行胰胆管造影术与腹腔镜胆道手术在肝内外胆管结石治疗中的疗效评价［J］. 中国内镜杂志， 2017，23（8）：32-37.
24 TAN J， TAN Y， CHEN F， et al. Endoscopic or laparoscopic approach for hepatolithiasis in the era of endoscopy in China［J］. Surg Endosc， 2015，29（1）：154-162.
25 ZHAO H C. ZHAO H C， HE L，et al. Meta-analysis comparison of endoscopic papillary balloon dilatation and endoscopic sphincteropapillotomy［J］. World J Gastroenterol， 2013，19（24）：3883-3891.
26 TAO H， WANG P， SUN B， et al. One-Step Multichannel Percutaneous Transhepatic Cholangioscopic Lithotripsy Applied in Bilateral Hepatolithiasis［J］. World J Surg， 2020，44（5）：1586-1594.
27 LIN W， CHEN M， LI B， et al. Intraoperative ultrasound-guided percutaneous hepatocholangiostomy applied in the cholangioscopic lithotripsy for hepatolithiasis and choledocholithiasis［J］. Surg Endosc， 2023，37（1）：486-493.
28 中国研究型医院学会肝胆胰外科专业委员会. 肝胆管结石病经皮经肝取石手术应用指南（2021版）［J］. 中华肝胆外科杂志，2022，28（1）：7-14.
29 CHEN Z， HUA Z， LIN R， et al. A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy［J］. J Vis Exp， 2022，13（187）：10.
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