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- W2354486985 abstract "Objective To investigate the therapeutic effects of partial hepatectomy assisted by choledochos- copy for hepatolithiasis.Methods A retrospective analysis was conducted among 92 patients with hepatolithias ad- mitted from April,1996 to Feb 2007.Of these patients,47 underwent partial hepatectomy and choledochotomy with T-tube drainage and intra-and post-operative choledochoscopic calculus removal(group A),and 45 underwent choledochotomy for calculus removal and T-tube drainage with also intra-and post-operative choledochoscopy (group B).The therapeutic effects of the two surgical protocols were compared between the two groups after the operation.Results In group A,the rate of calculus remnant was 14.9%(7/47)2 weeks after the primary surgery, which was lowered,2 months later,to 4.3%(2/47)after secondary choledochoscopy for calculus removal.The rate of calculus remnant in group B was 35.6%(16/45)after the primary surgery and lowered 2 months later to 22.2%(10/45)after 4 or 5 surgeries of choledochoscopic calculus removal,significantly higher than the rates in group A at both 2 weeks and 2 months.No significant differences were noted in the incidence of incison infection, pleural fluid,subphrenic infection or pulmonary infections between the two groups.Good therapeutic effect was achieved in 95.2%(40/42)of the patients in group A but only in 75%(30/40)of the patients in group B,showing significant difference between them(P0.01).Conclusion Partial hepatectomy with T-tube drainage and intra- and post-operative choledochoscopy can be a more effective surgical protocol than choledochotomy with T-tube drainage in the management of hepatolithiasis." @default.
- W2354486985 created "2016-06-24" @default.
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- W2354486985 date "2007-01-01" @default.
- W2354486985 modified "2023-09-28" @default.
- W2354486985 title "Therapeutic effects of partial hepatectomy with choledochoscopy for hepatolithiasis" @default.
- W2354486985 hasPublicationYear "2007" @default.
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