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Digital Surgical Diagnosis and Management of Hepatolithiasis

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Biliary Tract Surgery

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.

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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)

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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

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  • DOI: https://doi.org/10.1007/978-981-33-6769-2_12

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-33-6768-5

  • Online ISBN: 978-981-33-6769-2

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