Laparoscopic left hepatectomy with bile duct exploration for cholecystocholedocholithiasis and hepatolithiasis

Treatment of hepatolithiasis may require hepatectomy in cases of ductal stenosis and parenchymal atrophy (Fig. 1)^1,2.

Fig. 1

We present the case of a 72-year-old patient who consulted for jaundice. Ultrasound and magnetic resonance imaging of the abdomen with contrast demonstrated cholecystocholedocholithiasis associated with hepatolithiasis of the left lobe of the liver, stenosis of the hepatic duct and impacted gallstone. We performed cholecystectomy with exploration of the bile duct and primary closure to later continue with a laparoscopic left hepatectomy (Appendix B, Video).

The postoperative period was uneventful, and the patient was discharged on the fourth postoperative day.