Clinical study on total laparoscopic anatomical left hepatectomy in the treatment of left hepatolithi’asis

Abstract

Objective To investigate the clinical efficacy of total laparoscopic anatomical left hepatectomy in the treatment of left hepatolithiasis. Methods The clinical data of 45 patients with left hepatolithiasis treated in our hospital from August 2013 to February 2017 were retrospective analyzed, including 21 cases in laparoscopic group and 24 cases in open group. Statistical analysis were performed by using SPSS 18.0 software, measurement data such as the perioperative indicators and liver function indexes were expressed as mean±standard deviation, and were examined by using t test. The postoperative usage of albumin, intraoperative blood transfusion rate, analgesic use rate, stone clearance rate, recurrence rate and postoperative complication rate were examined by using the Chi-square test. A P value of <0.05 was considered as significant difference. Results The operation time of the laparoscopic group was longer than that of the open group, intraoperative blood loss, postoperative anal exhaust time, diet recovery time, intraoperative blood transfusion rate, analgesic use rate, postoperative usage of albumin and average hospitalization time in the laparoscopic group were significantly better than those in the open group (P 0.05). There was no significant difference of liver function indexes between the two groups before and after operation. Conclusion Total laparoscopic anatomical left hepatectomy in the treatment of left hepatolithiasis is feasible and safe, and has the benefits of small trauma, less pain, quick postoperative recovery, it is worthy of clinical promotion. Key words: Cholelithiasis; Laparoscopy; Hepatectomy