Effect Analysis Of Segmental Hepatectomy And Trad Hepatic Left Lateral Lobectomy In The Treatmentof Cholangetic Calculus In The Left Lateral Liver

Objective:To investigate the clinical effect of open hepaticⅡsegment or Ⅲsegment resection in the treatment of cholangetic calculus in the left lateral liver compared with open hepatic left lateral lobectomy.Methods:The clinical data of 57 patients who underwent hepatectomy from hepatolithiasis in the left lateral liver(Including hepatolithiasis were limited to sectionⅡor sectionIII of the liver and other liver has no atrophy or stenosis)in the second affiliated hospital of Nanchang University from June 2013 to August 2016 were retrospectively analyzed,According to location of calculus and different surgical methods were divided into two groups,including 27 cases with calculus in sectionⅡor section III of the liver perform anatomical hepatic Ⅱ segmentectomy or Ⅲsegmentectomy group(Liver segment group),30 patients of the left hepatic lobectomy group(Liver lobe group).Statisticsing and comparing the two groups of patients’ age,sex,length of operation incision,operation time,intraoperative blood loss,postoperative indwelling drainage tube time,postoperative liver function parameters,calculus residual rate,hospitalization time,complications,calculi recurrence rate and so on,to evaluate the effect of anatomical hepatic Ⅱsegmentectomy or Ⅲsegmentectomy in the treatment of cholangetic calculus in the left lateral hepatic.Results:patients,liver function recovery time,intraoperative blood loss,postoperative indwelling drainage tube time,hospitalization time in Liver segment group was less than Liver lobe group significantly(P<0.05),two groups of length of operation incision,operation time,calculus residual rate,calculi recurrence rate,complications,calculi recurrence rate have no significant difference(P>0.05).Conclusion:For hepatic calculus limited to bile ducts of hepaticⅡsegment or hepatic Ⅲ segment,while other hepatic bile ducts have no primary stones and stenosis,anatomical hepaticⅡsegmentectomy or Ⅲ segmentectomy can achieve good results,and has the advantages of quick recovery of liver function,lessintraoperative blood loss and shorter hospitalization time than open hepatic left lateral lobectomy.