Hepatolithiasis is a common disease where stones are located in the intrahepatic bile duct.Hepatolithiasis is a disease with regional characteristics.The compli-cation and postoperative recurrence rates of the disease...Hepatolithiasis is a common disease where stones are located in the intrahepatic bile duct.Hepatolithiasis is a disease with regional characteristics.The compli-cation and postoperative recurrence rates of the disease are high.The intrahepatic cholangiocarcinoma and the incidence of liver cirrhosisare the main causes of death in patients with hepatolithiasis.Thus,it is difficult to treat.The majority of biliary stones are readily removed endoscopically,however complex intrahepatic or large refractory extrahepatic stones often require surgical or percutaneous interventions when standard endoscopic methods fail.At present,the main clinical treatment for hepatolithiasis is surgery,of which there are different methods depending on the patient’s condition.With the continuous updates and development of medical technology,the treatment of hepatolithiasis has im-proved.In this paper,several mainstream surgical methods including partial hepatectomy,choledochojejunostomy,biliary tract exploration and lithotomy,percutaneous transhepatic chledochoscopic lithotripsy and liver transplantation used in the clinic are reviewed for clinicians'reference.Depending on the charac-teristics of each case,a suitable surgical method is chosen to obtain the best treatment effect.展开更多
基金Supported by Fundamental and Applied Basic Research Fund Committee of Guangdong Province,No.2022A1515140186,No.2022A1515220159,and No.2023A1515220128Guangdong Medical Science and Technology Research Fund Project,No.A2023395Guangdong Provincial Bureau of Chinese Medicine,No.20241303.
文摘Hepatolithiasis is a common disease where stones are located in the intrahepatic bile duct.Hepatolithiasis is a disease with regional characteristics.The compli-cation and postoperative recurrence rates of the disease are high.The intrahepatic cholangiocarcinoma and the incidence of liver cirrhosisare the main causes of death in patients with hepatolithiasis.Thus,it is difficult to treat.The majority of biliary stones are readily removed endoscopically,however complex intrahepatic or large refractory extrahepatic stones often require surgical or percutaneous interventions when standard endoscopic methods fail.At present,the main clinical treatment for hepatolithiasis is surgery,of which there are different methods depending on the patient’s condition.With the continuous updates and development of medical technology,the treatment of hepatolithiasis has im-proved.In this paper,several mainstream surgical methods including partial hepatectomy,choledochojejunostomy,biliary tract exploration and lithotomy,percutaneous transhepatic chledochoscopic lithotripsy and liver transplantation used in the clinic are reviewed for clinicians'reference.Depending on the charac-teristics of each case,a suitable surgical method is chosen to obtain the best treatment effect.
