Surgical treatment of hepatolithiasis in right lobe of liver: a report of 102 cases        HE Ling，LI Wen-mei. Department of General Surgery，Affiliated Hospital of Xuzhou Medical College，Xuzhou 221002，China
Corresponding author：LI Wen-mei，E-mail：L5748036@126.com
Abstract    Objective  To explore the surgical treatment of hepatolithiasis in right lobe of liver. Methods    Retrospective analysis the surgical treatment methods and efficacy of the 102 cases of hepatolithiasis in right lobe of liver in affiliated  hospital of Xuzhou medical college from January 2000 to December 2008. Results    30 cases in this group  underwent hepatic segmentectomy; and the remaining 72 cases underwent resection of the liver lobi, and incided common bile duct，Ⅰ and Ⅱ grade bile duct and removed the stones，Of which 20 cases were placed directly T-tube or U-tube drainage，33 cases were formed the narrow bile ducts and placed T-tube or U-tube drainage，and 19 cases received choledochojejunostomy. 42 cases combined common bile duct stones which  underwent incision of common bile duct and removed the stones. All cases of postoperative jaundice subsided gradually, and liver function improved. Postoperative bile leakage occurred in 6 cases (5.9%), residual calculi happened in 5 cases(4.9%), cholangitis happened in 3 cases（2.9%）received cholecystojejunostomy，8 cases (7.8%) recurrent hepatolithiasis.  Conclusion    Hepatic segmentectomy or resection of the liver lobi ，incision of the secondary bile duct and removing the stones，forming the narrow bile duct，and placing T-tube or U-tube drainage or choledochojejunostomy for hepatolithiasis in right lobe of liver can obtain a good therapeutic effect. In addition，Forming bile duct stenosis, and placing T-tube or U-tube drainage can reduce the occurrence of postoperative complications, and more conducive to deal with complications.