Hepatectomy with primary closure of common bile duct for hepatolithiasis combined with choledocholithiasis

Table 1 Calculus distribution, liver lesions and operations

Calculus distribution and liver lesions	Operations
	Drainage group (n = 48)	Non-drainage group (n = 43)
Left lobe stones, parenchymal atrophy and/or fibrosis	Left hemihepatectomy, T-tube drainage (12)	Left hemihepatectomy (12)
	Left lateral segmentectomy, T-tube drainage (10)	Left lateral segmentectomy (8)
	Left hemihepatectomy, choledochojejunostomy (3)
Right lobe stones, parenchymal atrophy and/or fibrosis	Right hemihepatectomy, T-tube drainage (6)	Right hemihepatectomy (6)
	Right posterior lobectomy, T-tube drainage (4)	Right posterior lobectomy (3)
	Right hemihepatectomy, hepaticojejunostomy (2)
Bilateral lobe stones, dominantly affected left lobe atrophy and/or fibrosis	Left hemihepatectomy, right intrahepatic duct stone extraction, T-tube drainage (2)	Left hemihepatectomy, right intrahepatic duct stone extraction (4)
	Left lateral segmentectomy, right intrahepatic duct stone extraction, T-tube drainage (3)	Left lateral segmentectomy, right intrahepatic duct stone extraction (6)
	Left hemihepatectomy, right intrahepatic duct stone extraction, choledochojejunostomy (2)
Bilateral lobe stones, dominantly affected right lobe atrophy and/or fibrosis	Right hemihepatectomy, left intrahepatic duct stone extraction, T-tube drainage (1)	Right hemihepatectomy, left intrahepatic duct stone extraction (4)
	Right hemihepatectomy, left intrahepatic duct stone extraction, hepaticojejunostomy (2)
	Right hemihepatectomy, left intrahepatic duct stone extraction, choledochojejunostomy (1)

Apart from intrahepatic lithiasis, all patients have extrahepatic bile duct stones.

Table 2 Postoperative complications, hospital stay and costs n (%)

Complication	Drainage group (n = 48)	Non-drainage group (n = 43)	P value
Residual stones	7 (14.6)	4 (9.3)	0.329
Bile leakage	7 (14.6)	6 (13.9)	0.586
Pancreatitis	2 (4.2)	2 (4.7)	0.649
Cholangitis	13 (27.1)	9 (20.9)	0.331
T-tube dislocation	1 (2.1)	0	0.527
Postoperative hospital stay (d)	15.4 ± 2.1	11.2 ± 2.8	0.000
Postoperative costs (yuan)	32 933.3 ± 6235.1	29 325.6 ± 5668.2	0.005

Postoperative hospital stay and costs were tested by Student’s t test. Other variables were tested by Fisher’s exact test or χ² test.