Objective To investigate the application of medical obturation glue in patients with hepatolithiasis who underwent laparoscopic hepatectomy.Methods 84 patients with hepatolithiasis of left lateral lobe underwent laparoscopic hepatectomy.These patients were randomly divided into medical obturation glue group (treatment group) and control group.The patients underwent laparoscopic hepatectomy in both groups.Medical obturation glue and omentum filled, conventional suture techniques were used in hepatic cross section in treatment group and control group respectively.Operation time, characteristics of drainage flow, biliary fistula, drainage duration, postoperative liver function test and hospitalization time were observed in the two groups.Results The length of operation, the increasing amplitude of bilirubin and transaminase, the recovery time of liver function, drainage flow, the red blood cell and hemoglobin count in drainage fluid, extubation time and hospitalization time in trail group were significantly lower than that of control group (P<0.05) .Two mild and five biliary fistula were observed in trail group (4.7%) , while five biliary fistula were seen in the control group (11.9%) including:three serious biliary fistula (7.1%) and one sub-diaphragm abscess.Conclusion The application of medical obturation glue in hepatic cross section of patients undergoing laparoscopic hepatolobectomy for hepatolithiasis, is better than the traditional method, in terms of saving operation time, decreasing liver injury, blood loss, biliary fistula.
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