Cargando…

The postoperative choledochoscopy in the management of the residual hepatolithiasis involving the caudate lobe: A retrospective study

To reveal the role of the postoperative choledochoscopy in treating the residual calculi in the caudate lobe (CL) of the liver. We recruited 66 patients with T-tube/percutaneous transhepatic cholangioscopy tract who still had residual gallstones in the CL at least 6 weeks after the operation. Imagin...

Descripción completa

Detalles Bibliográficos
Autores principales: Liang, Li, Zhuang, Donghai, Feng, Xianguang, Zhang, Kai, Zhi, Xuting
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8415990/
https://www.ncbi.nlm.nih.gov/pubmed/34477129
http://dx.doi.org/10.1097/MD.0000000000026996
_version_ 1783748081764794368
author Liang, Li
Zhuang, Donghai
Feng, Xianguang
Zhang, Kai
Zhi, Xuting
author_facet Liang, Li
Zhuang, Donghai
Feng, Xianguang
Zhang, Kai
Zhi, Xuting
author_sort Liang, Li
collection PubMed
description To reveal the role of the postoperative choledochoscopy in treating the residual calculi in the caudate lobe (CL) of the liver. We recruited 66 patients with T-tube/percutaneous transhepatic cholangioscopy tract who still had residual gallstones in the CL at least 6 weeks after the operation. Imaging examinations determined the gallstones’ locations in the patients, and all of them underwent the postoperative choledochoscopic examination through the T-tube/percutaneous transhepatic cholangioscopy tract for therapeutic intervention. Among the 66 patients, the residual gallstones were mostly located in the Spiegel lobe (48/66, 72.7%), and the residual gallstones that located in the origin of the CL bile branches were successfully determined in the 57 patients (57/66, 86.4%), the remaining 9 patients were unclear because the proximal ducts were severely narrow or even atresia. The mean frequency of the postoperative choledochoscopy was 3.6 (range, 1–10) times. There were 9 patients with complications, and no mortality occurred. In the origin-proved 57 patients, 6 patients failed to remove the gallstones altogether, and the final residual gallstone clearance rate was 77.3% (51/66). There was no significant difference between the Spiegel lobe and the other parts of the CL in determining the bile duct's origins, gallstone clearance rate, and complications. However, the frequency of choledochoscopy in the other parts of the CL was more than in the Spiegel lobe. The postoperative choledochoscopy, an essential method for treating the residual gallstones in the CL, commands high efficiency for calculi extraction and fewer complications. The main reasons for failing to remove the residual gallstones are that the bile duct's origins could not be determined, and the distal bile ducts are atretic in the CL.
format Online
Article
Text
id pubmed-8415990
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-84159902021-09-07 The postoperative choledochoscopy in the management of the residual hepatolithiasis involving the caudate lobe: A retrospective study Liang, Li Zhuang, Donghai Feng, Xianguang Zhang, Kai Zhi, Xuting Medicine (Baltimore) 4500 To reveal the role of the postoperative choledochoscopy in treating the residual calculi in the caudate lobe (CL) of the liver. We recruited 66 patients with T-tube/percutaneous transhepatic cholangioscopy tract who still had residual gallstones in the CL at least 6 weeks after the operation. Imaging examinations determined the gallstones’ locations in the patients, and all of them underwent the postoperative choledochoscopic examination through the T-tube/percutaneous transhepatic cholangioscopy tract for therapeutic intervention. Among the 66 patients, the residual gallstones were mostly located in the Spiegel lobe (48/66, 72.7%), and the residual gallstones that located in the origin of the CL bile branches were successfully determined in the 57 patients (57/66, 86.4%), the remaining 9 patients were unclear because the proximal ducts were severely narrow or even atresia. The mean frequency of the postoperative choledochoscopy was 3.6 (range, 1–10) times. There were 9 patients with complications, and no mortality occurred. In the origin-proved 57 patients, 6 patients failed to remove the gallstones altogether, and the final residual gallstone clearance rate was 77.3% (51/66). There was no significant difference between the Spiegel lobe and the other parts of the CL in determining the bile duct's origins, gallstone clearance rate, and complications. However, the frequency of choledochoscopy in the other parts of the CL was more than in the Spiegel lobe. The postoperative choledochoscopy, an essential method for treating the residual gallstones in the CL, commands high efficiency for calculi extraction and fewer complications. The main reasons for failing to remove the residual gallstones are that the bile duct's origins could not be determined, and the distal bile ducts are atretic in the CL. Lippincott Williams & Wilkins 2021-09-03 /pmc/articles/PMC8415990/ /pubmed/34477129 http://dx.doi.org/10.1097/MD.0000000000026996 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle 4500
Liang, Li
Zhuang, Donghai
Feng, Xianguang
Zhang, Kai
Zhi, Xuting
The postoperative choledochoscopy in the management of the residual hepatolithiasis involving the caudate lobe: A retrospective study
title The postoperative choledochoscopy in the management of the residual hepatolithiasis involving the caudate lobe: A retrospective study
title_full The postoperative choledochoscopy in the management of the residual hepatolithiasis involving the caudate lobe: A retrospective study
title_fullStr The postoperative choledochoscopy in the management of the residual hepatolithiasis involving the caudate lobe: A retrospective study
title_full_unstemmed The postoperative choledochoscopy in the management of the residual hepatolithiasis involving the caudate lobe: A retrospective study
title_short The postoperative choledochoscopy in the management of the residual hepatolithiasis involving the caudate lobe: A retrospective study
title_sort postoperative choledochoscopy in the management of the residual hepatolithiasis involving the caudate lobe: a retrospective study
topic 4500
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8415990/
https://www.ncbi.nlm.nih.gov/pubmed/34477129
http://dx.doi.org/10.1097/MD.0000000000026996
work_keys_str_mv AT liangli thepostoperativecholedochoscopyinthemanagementoftheresidualhepatolithiasisinvolvingthecaudatelobearetrospectivestudy
AT zhuangdonghai thepostoperativecholedochoscopyinthemanagementoftheresidualhepatolithiasisinvolvingthecaudatelobearetrospectivestudy
AT fengxianguang thepostoperativecholedochoscopyinthemanagementoftheresidualhepatolithiasisinvolvingthecaudatelobearetrospectivestudy
AT zhangkai thepostoperativecholedochoscopyinthemanagementoftheresidualhepatolithiasisinvolvingthecaudatelobearetrospectivestudy
AT zhixuting thepostoperativecholedochoscopyinthemanagementoftheresidualhepatolithiasisinvolvingthecaudatelobearetrospectivestudy
AT liangli postoperativecholedochoscopyinthemanagementoftheresidualhepatolithiasisinvolvingthecaudatelobearetrospectivestudy
AT zhuangdonghai postoperativecholedochoscopyinthemanagementoftheresidualhepatolithiasisinvolvingthecaudatelobearetrospectivestudy
AT fengxianguang postoperativecholedochoscopyinthemanagementoftheresidualhepatolithiasisinvolvingthecaudatelobearetrospectivestudy
AT zhangkai postoperativecholedochoscopyinthemanagementoftheresidualhepatolithiasisinvolvingthecaudatelobearetrospectivestudy
AT zhixuting postoperativecholedochoscopyinthemanagementoftheresidualhepatolithiasisinvolvingthecaudatelobearetrospectivestudy