Hepatolithiasis why surgical complications?

Biliary surgery, especially intrahepatic bile duct surgery abdominal surgery is more complicated surgery. According to the National Hospital 71 4,197 cases hepatolithiasis surgery statistics, the incidence of surgical complications rate of 13.25%, or more systemic and biliary purulent infection. Serious complications, accounting for 2.88% shock, sepsis 2.1%, 5.14% acute cholangitis and liver abscesses 0.59%, 1.39% biliary tract bleeding, surgical mortality rate of 1.88%. Biliary Complications of the high incidence of reasons : (1), bile duct and liver artery variation of the more vulnerable for injury. (2), bile duct stones are easily repeated with biliary tract infection, post-induced liver damage if substantive liver fibrosis and atrophy of the liver, biliary cirrhosis, illnesses such as portal hypertension, which causes bile duct surgery in a serious liver damage or failure of the compensatory extremely adverse circumstances, the surgery itself take double risks. (3) calculus of intrahepatic biliary infection, liver pyonephrosis, endogenous biliary complications such as liver abscess, which not only increased the risk of surgery, and often led to the implementation of emergency situations emergency surgery. Some patients have done different types of biliary tract surgery, the patient's condition is more complicated. (4) cholelithiasis long attack, patients often anemia, low-protein disease, malnutrition, right after the restoration of a greater impact. (5) gallstone with jaundice, which can lead to kidney damage, leading to acute renal failure after surgery. Jaundice can immune function decline, the incidence of infection increased. In addition, jaundice stomach so that the stress-prone state of acute gastric mucosal damage, which resulted in stress ulcer bleeding.