Background: Hepatolithiasis is common in East Asia, the management of residual and recurrent stones is difficult and complex. The various approaches used for the management oj intrahepatolithiasis only can remove stones, are not useful in somes recurrent cases. Aims: The goal of this study is to make a long-term access for managing of residual and recurrent hepatolithiasis. Methods: prospective study. The technique of choledochostomy through gallblader by anastomosing funnel of gall bladder and common bile duct. Results: Between January 2008 and November 2012, 47 patients underwent this technique, 38 open surgery, 9 laparoscopic surgery. The mean age was 48,45; 33 female, 14 male. Patients had a lot of stones in liver, recurrent stones, bile duct strictures. This technique is feasible, 6 cases with hepatectomy simultaneously, no severe complication. Following operation, stones removal and stricture dilatation was performed on 42 patients, complete stone clearance 85,71 percent, median occasions 2,86 + or - 1,48 times (1-7). The function of gallblader is preservable. There were 4 cases with recurrent hepatolithiasis after 12-36 months, reopened this access to suacessfully remove stones. Conclusion: The technique of choledochostomy through gallblader is safe, effective in treatment of hepatolithiasis.
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