The cause of Hepatolithiasis reoperation and treatment decisions        CHEN Ya-jin. Division of Hepatobiliary Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou510120, China
Abstract    Hepatolithiasis with the characteristics of higher rate of stones residual/recurrence and complication resulting a considerable proportion of patients set to undergo surgery several times. This adverse result was mainly caused by reasons below: incomprehensive preoperative diagnosis and assessment, unsuitable operation methods/timings, lacking of necessary surgical instruments and iatrogenic injury. Bile duct reoperation was complicated than that for the first time, which requiring a preoperative assessment of disease status to develop individualized treatment programs. The segmental hepatectomy with full equipped surgical instruments was promising and effective for patients with hepatolithiasis.Long term follow up as well as the treatment of postoperative complications in early stage were also advised. We will encourage the above methods combined with a view to ultimately reduce the postoperative risk of stone recurrence and reoperation.