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

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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.
Title: Result of hepatectomy for hepatolithiasis in Hue University of Medicine and Pharmacy Hospital
Description:
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.

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