Clinical effect of 37 cases of emergency common bile duct exploration and left lateral lobectomy

Abstract

Objective To investigate the therapeutic effect and safety of acute obstructive cholangitis underwent emergency exploration of common bile duct and left hepatic lobectomy. Methods A retrospective descriptive study was used.The clinical data of 37 cases of acute common bile duct exploration with left lateral lobectomy in the Central Hospital of Shangluo from January 2015 to January 2010 were collected.The patients received emergency common bile duct exploration and left lateral lobectomy of the liver.Outcome measures: (1)patients with surgery; (2)major complications: postoperative bile leakage, residual stones, intraoperative bleeding; (3)postoperative drainage, residual stones and recovery of patients. Results 37 patients was performed in 16 cases, the average operation time was 120min, hepatic left lateral lobe resection average 23min, average amount of bleeding was 80mL.Postoperative stump 1 case of bile leakage, bile duct stones residue in 3 cases, intraoperative bleeding in 3 cases, postoperative return pathology intrahepatic cholangiocarcinoma in 1 case. Conclusion Emergency treatment of common bile duct exploration and left lateral lobectomy is a safe and feasible surgical approach, which can avoid the the reinfection of left lateral lobe. Key words: Cholangitis; Cholestasis; Hepatectomy; Emergency treatment