Abstract
Hepatolithiasis refers to stones that originated from the intrahepatic biliary system, which can exist alone or coexist with extrahepatic bile duct stones. As a common biliary tract disease that is difficult to treat, hepatolithiasis is characterized by slow progress and severe consequence. When the hepatobiliary system suffers from progressive damage caused by diffuse stone obstruction and recurrent cholangitis, it can lead to severe complications such as biliary cirrhosis and portal hypertension, cholangiocarcinoma, liver failure, and eventually to the final stage of biliary disease. It has become the most challenging problem in hepatobiliary surgery and liver transplantation and is an important cause of death in benign biliary tract diseases in China.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Biliary Surgery Branch of Chinese Medical Association. Guidelines for the diagnosis and treatment of hepatolithiasis. Chin J Dig Surg. 2007;6(2):156–61.
Couinaud C. Lobes et segments hépatiques: notes sur l'architecture anatomiques et chirurgicale du foie. Presse Med. 1954;62:709–12.
Dong J-H, Feng X-B, Duan W-D. Stepping into the “segmental” era of biliary surgery. Chin J Digest Surg. 2017;16(4):341–4.
Fang CH, Liu J, Fan YF, et al. Outcomes of hepatectomy for hepatolithiasis based on 3-dimensional reconstruction technique. J Am Coll Surg. 2013;217(2):280–8.
Huang CC. Partial resection of the liver in treatment of intrahepatic stones. Chin Med J. 1959;79:40–5.
Huang Z. The collection of academicians Huang Zhiqiang. Beijing: People’s Military Medical Press; 2014. p. 50–76.
Jan YY, Chen MF. Percutaneous trans-hepatic cholangioscopic lithotomy for hepatolithiasis: long-term results. Gastrointest Endosc. 1995;42(1):1–5. https://doi.org/10.1016/s0016-5107(95)70234-2.
Jan YY, Chen MF, Wang CS, Jeng LB, Hwang TL, Chen SC. Surgical treatment of hepatolithiasis: Long-term results. Surgery 1996;120:509–14.
Lee SK, Seo DW, Myung SJ, Park ET, Lim BC, Kim HJ, Yoo KS, Park HJ, Joo YH, Kim MH, Min YI. Percutaneous transhepatic cholangioscopic treatment for hepatolithiasis: an evaluation of long-term results and risk factors for recurrence. Gastrointest Endosc. 2001;53(3):318–23. https://doi.org/10.1016/s0016-5107(01)70405-1.
Sakpal SV, Babel N, Chamberlain R. Surgical management of hepatolithiasis. HPB (Oxford). 2009;11(3):194–202.
Yeh YH, Huang MH, Yang JC, Mo LR, Lin J, Yueh SK. Percutaneous trans-hepatic cholangioscopy and lithotripsy in the treatment of intrahepatic stones: a study with 5-year follow-up. Gastrointest Endosc. 1995;42(1):13–8. https://doi.org/10.1016/s0016-5107(95)70236-9.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
12.1 Electronic Supplementary Material
Hepatolithiasis: Left extrahepatic lobectomy and right partial hepatectomy (video) (AVI 97864 kb)
Extended right posterior lobectomy for hepatolithiasis (video) (WMV 9302 kb)
Extended posterior lobectomy for hepatolithiasis (surgical video) (MPG 165986 kb)
Open hepatectomy or segmentectomy combined with choledochoscopic (soft/hard) targeting lithotomy (video) (AVI 126676 kb)
Treatment of hepatolithiasis by percutaneous rigid choledochoscope lithotripsy (preoperative 3D visualization) (WMV 11575 kb)
Laparoscopic and choledochoscopic targeted lithotripsy for hepatolithiasis (preoperative 3D visualization) (WMV 7434 kb)
Laparoscopic cholecystectomy, common bile duct exploration, transhepatic common duct scleral endoscopic intrahepatic cholangiectomy (video) (WMV 31302 kb)
Targeted lithotripsy with trans-sinus choledochoscope (soft or hard) (video) (MPG 115920 kb)
Preoperative 3D visualization for common bile duct exploration + biliary rigid mirror lithotripsy (video) (WMV 6716 kb)
Common bile duct exploration + biliary rigid mirror lithotripsy (surgical video) (MPG 405552 kb)
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Lu, Q., Yang, J., Wang, P., Liu, J., Fan, Y., Fang, C. (2021). Digital Surgical Diagnosis and Management of Hepatolithiasis. In: Fang, C., Lau, W.Y. (eds) Biliary Tract Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-33-6769-2_12
Download citation
DOI: https://doi.org/10.1007/978-981-33-6769-2_12
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-33-6768-5
Online ISBN: 978-981-33-6769-2
eBook Packages: MedicineMedicine (R0)