The Risk Factor Analysis for Recurrence in the Treatment of Choledochojejunostomy for Hepatolithiasis

Ming-xiong ZHANG; Xiao-wen ZHANG

doi:10.12259/j.issn.2095-610X.S20210937

Volume 42 Issue 9

Sep. 2021

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Ming-xiong ZHANG, Xiao-wen ZHANG. The Risk Factor Analysis for Recurrence in the Treatment of Choledochojejunostomy for Hepatolithiasis[J]. Journal of Kunming Medical University, 2021, 42(9): 76-82. doi: 10.12259/j.issn.2095-610X.S20210937

Citation:

Ming-xiong ZHANG, Xiao-wen ZHANG. The Risk Factor Analysis for Recurrence in the Treatment of Choledochojejunostomy for Hepatolithiasis[J]. Journal of Kunming Medical University, 2021, 42(9): 76-82. doi: 10.12259/j.issn.2095-610X.S20210937

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The Risk Factor Analysis for Recurrence in the Treatment of Choledochojejunostomy for Hepatolithiasis

doi: 10.12259/j.issn.2095-610X.S20210937

Ming-xiong ZHANG¹,
Xiao-wen ZHANG^{2
,
,}

1.
Dept. of Anesthesia Surgery，Yunnan Cancer Hospital；Yunnan Cancer Center，Kunming Yunnan 650118
2.
The Second Ward of Hepatobiliary Pancreatic Surgery，the Second Affiliated Hospital of Kunming Medical University；Clinical Medicine Center for Hepatobiliary and Pancreatic Diseases of Yunnan Province，Kunming Yunnan 650032，China

Received Date: 2021-07-06
Available Online: 2021-09-13
Publish Date: 2021-09-30

Abstract

Abstract

Objective To study the related risk factor of recurrence after the treatment of choledochojejunostomy in hepatolithiasis. Methods Retrospective analysis was performed on the clinical data of patients with hepatolithiasis who underwent biliary jejunostomy in the Second Affiliated Hospital of Kunming Medical University from June 2014 to June 2019.According to the criteria for recurrence of bile duct stones, the included patients were divided into the recurrence group and the non-recurrence group. Results A total of 77 patients with hepatolithiasis and undergoing the underwent choledochojejunostomy were included in this study, all of whom were followed up successfully, including 21 in the recurrence group and 56 in the non-recurrence group.Univariate analysis and multivariate analysis showed that stone size ≥10 mm, choledochal diameter < 20 mm, stone location, biliary inflammation, anastomotic anastomosis, no supporting tube, no biliary drainage and no hepatectomy were the risk factors for recurrence of hepatolithiasis after the biliary jejunectomy （P < 0.05）. Conclusion Stone size ≥10 mm, choledochal diameter < 20 mm, stone location, biliary inflammation, anastomotic anastomosis, no supporting tube, no biliary drainage and no hepatectomy are the risk factors for the recurrence of hepatolithiasis after the biliary jejunectomy.
- Choledochojejunostomy,
- Hepatolithiasis,
- Recurrence,
- Risk factor

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References(26)

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