Result of hepatectomy for hepatolithiasis in Hue University of Medicine and Pharmacy Hospital

Abstract

Background: Hepatolithiasis is an endemic disease in the Asia-Pacific region with 30 - 50% prevalence. We aimed to evaluate the patient’s characteristics, indications, and short-term outcomes. Method: A cross-sectional descriptive study. Data were analyzed using the Student’s t-test, univariable analysis by SPSS 20.0 software. Results: 33 cases of liver resection due to hepatolithiasis, mean age was 54.2 ± 13.2, 75.6% female, Child-Pugh score (A 97%, B 3%). The top position at the left lobe was 48.5%. ASA1was 36.4%; ASA2 was 54.5%, and ASA3 9.1%. Left lobe hepatectomy was 90.9%. The operative time was 185.2 ± 35 minutes. The hospitalization time was 16.2 ± 4.7 days. Biloma was 3%, the abdominal fluid collection was 15.2%, Wound infection was 3%, pneumonia was 3%, pleural effusion was 6.1%, urinary infection was 3%, and sepsis was 6.1%. The rate of retained and recurrent stones was 24.2%. There was no mortality after surgery. Conclusion: The hepatectomy for hepatolithiasis is safe and feasible. Key words: hepatectomy, hepatolithiasis, treatment, surgery, result.