To investigate the 2-year follow-up results of patients with left hepatic bile duct stones treated by using two kinds of surgical methods.

A retrospective analysis was performed in 87 patients with left hepatic bile duct stones in three hospitals from September 2016 to January 2018. According to the surgical methods, 45 patients who underwent laparoscopic left hepatectomy (LLH) were divided into the LLH group, and 42 patients who underwent open left hepatectomy (OLH) were divided into the OLH group. Statistical analysis were performed by using SPSS 24.0 software. Measurement data, such as operation-related indicators and postoperative recovery were expressed as (±s), and were examined by using independent t test. Count data such as complications were expressed as percentage and were analyzed by using χ² test A P value <0.05 was considered as statistically significant difference.

In the LLH group , there were longer operation time and blocking time of blood flow than those in the OLH group, while with shorter time of ambulation, anal exhaust time, abdominal drainage time and hospitalization time, and with lower intraoperative blood loss, intraoperative blood transfusion rate and visual analogue scale(VAS) than those in the OLH group respectively (P<0.05). There was no significant difference in the total incidence of postoperative complications, stone clearance rate and stone recurrence rate between the two groups (P<0.05).

Compared with OLH, LLH treatment of left intrahepatic bile duct stones could effectively reduce intraoperative bleeding and promote the postoperative recovery, with similar postoperative complications, stone removal and recurrence rate.