PHẪU THUẬT ĐIỀU TRỊ SỎI ĐƯỜNG MẬT TRONG GAN KÈM CẮT GAN TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objective: The results of surgical treatment for hepatolithiasis combined with hepatectomy at Hanoi Medical University Hospital. Subjects and methods: A retrospective descriptive study was conducted at the General Surgery Department of Hanoi Medical University Hospital on a group of patients who underwent surgical treatment for hepatolithiasis combined with hepatectomy from 2018 to 2023. The content included clinical characteristics, laboratory findings, surgical techniques, and early outcome assessments. Results: A total of 125 patients participated in the study, with an average age of 56 years. The female-to-male ratio was 2.47. Abdominal pain was the commonest symptom, accounting for 72.8%. Most patients had normal liver function. The incidence of left hepatic atrophy on magnetic resonance imaging was 85%, and the rate of choledocholithiasis was 58%. Segmentectomy 2 and 3 due to hepatic parenchymal atrophy accounted for 88%, with an average operation time of 135 minutes and no intraoperative complications or blood transfusions. The postoperative morbidity was 10.4%, all classified as type I complications. Complete stone clearance was achived in 82% in the first month follow-up. Conclusion: Surgical treatment for hepatolithiasis combined with hepatectomy is safe and effective, with a low-mortality and a high stone clearance rate. It helps remove the affected liver parenchyma and drainage infected bile, also reducing the risk of recurrence and the development of intrahepatic cholangiocarcinoma.