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Simple resection of the lesion bile duct branch for treatment of regional hepatic bile duct stones

To evaluate the effectiveness and safety of simple resections of bile duct branch lesions for the treatment of regional hepatic bile duct stones. A retrospective analysis of the clinical data from patients in our hospital from November 2008 to November 2015, who only underwent a simple resection of...

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Autores principales: Enliang, Li, Rongshou, Wu, Shidai, Shi, Jingling, Zhang, Qian, Feng, Wenjun, Liao, Linquan, Wu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502172/
https://www.ncbi.nlm.nih.gov/pubmed/28682899
http://dx.doi.org/10.1097/MD.0000000000007414
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author Enliang, Li
Rongshou, Wu
Shidai, Shi
Jingling, Zhang
Qian, Feng
Wenjun, Liao
Linquan, Wu
author_facet Enliang, Li
Rongshou, Wu
Shidai, Shi
Jingling, Zhang
Qian, Feng
Wenjun, Liao
Linquan, Wu
author_sort Enliang, Li
collection PubMed
description To evaluate the effectiveness and safety of simple resections of bile duct branch lesions for the treatment of regional hepatic bile duct stones. A retrospective analysis of the clinical data from patients in our hospital from November 2008 to November 2015, who only underwent a simple resection of the lesion bile duct branch. The patients’ clinical characteristics, surgical features, postoperative complications, stone clear rate, residual stone rate, and recurrence stone rate were analyzed. This study of 32 patients included 13 males and 19 females with intrahepatic bile duct stones confined to the right hepatic bile duct branch. The intraoperative blood loss, operation time, and postoperative hospital stay were 478.0 ± 86.5, 210.7 ± 6.6, and 10.8 ± 3.5, respectively. Postoperative complications occurred in 6 patients (18.8%), all of whom recovered with conservative management. There were no deaths during hospitalization. The intraoperative stone clearance rate was 95.8%. Three patients had a recurrence of stones at a mean of 22 months of follow-up (range, 4–36 months). Simple resection of bile duct branch lesions is safe and feasible for patients who have regional hepatic bile duct stones limited to the right hepatic bile duct branches.
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spelling pubmed-55021722017-07-18 Simple resection of the lesion bile duct branch for treatment of regional hepatic bile duct stones Enliang, Li Rongshou, Wu Shidai, Shi Jingling, Zhang Qian, Feng Wenjun, Liao Linquan, Wu Medicine (Baltimore) 7100 To evaluate the effectiveness and safety of simple resections of bile duct branch lesions for the treatment of regional hepatic bile duct stones. A retrospective analysis of the clinical data from patients in our hospital from November 2008 to November 2015, who only underwent a simple resection of the lesion bile duct branch. The patients’ clinical characteristics, surgical features, postoperative complications, stone clear rate, residual stone rate, and recurrence stone rate were analyzed. This study of 32 patients included 13 males and 19 females with intrahepatic bile duct stones confined to the right hepatic bile duct branch. The intraoperative blood loss, operation time, and postoperative hospital stay were 478.0 ± 86.5, 210.7 ± 6.6, and 10.8 ± 3.5, respectively. Postoperative complications occurred in 6 patients (18.8%), all of whom recovered with conservative management. There were no deaths during hospitalization. The intraoperative stone clearance rate was 95.8%. Three patients had a recurrence of stones at a mean of 22 months of follow-up (range, 4–36 months). Simple resection of bile duct branch lesions is safe and feasible for patients who have regional hepatic bile duct stones limited to the right hepatic bile duct branches. Wolters Kluwer Health 2017-07-07 /pmc/articles/PMC5502172/ /pubmed/28682899 http://dx.doi.org/10.1097/MD.0000000000007414 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle 7100
Enliang, Li
Rongshou, Wu
Shidai, Shi
Jingling, Zhang
Qian, Feng
Wenjun, Liao
Linquan, Wu
Simple resection of the lesion bile duct branch for treatment of regional hepatic bile duct stones
title Simple resection of the lesion bile duct branch for treatment of regional hepatic bile duct stones
title_full Simple resection of the lesion bile duct branch for treatment of regional hepatic bile duct stones
title_fullStr Simple resection of the lesion bile duct branch for treatment of regional hepatic bile duct stones
title_full_unstemmed Simple resection of the lesion bile duct branch for treatment of regional hepatic bile duct stones
title_short Simple resection of the lesion bile duct branch for treatment of regional hepatic bile duct stones
title_sort simple resection of the lesion bile duct branch for treatment of regional hepatic bile duct stones
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502172/
https://www.ncbi.nlm.nih.gov/pubmed/28682899
http://dx.doi.org/10.1097/MD.0000000000007414
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